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Open Biopsy Of A Bone Near The Skin Surface

Utah rates for HCPCS 20240

This procedure surgically opens the skin to remove a small sample of bone tissue from a bone that lies close to the surface of the body, such as one in the wrist, ankle, or lower leg, rather than a bone deep within the body. The sample is examined under a microscope to help diagnose conditions such as infection, tumors, or other bone disease. It's more involved than a needle biopsy but less involved than accessing a deep bone.

Rates data updated July 2026.

How much does Open Biopsy Of A Bone Near The Skin Surface cost?

$4,398

Typical total for the visit. In Utah, July 2026.

Insurers have agreed to pay about $4,398 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $4,169 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$229$141 to $316
Facility feeThe hospital or surgery center$4,169$3,162 to $5,129

How much rates vary

Facilitymedian $4,169 · 10th to 90th $316 to $6,026Professionalmedian $229 · 10th to 90th $129 to $759
$50$100$200$500$1K$2K$5Kfacility $4,169professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$3,715.35
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$8,511.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$478.63
Select Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$245.47
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$302.00

Where Utah sits

The same service costs 34.2 times more in Maine than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Utah· 14th of 50

$4,398

$229 physician + $4,169 facility

ME $10,423MD $305

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.