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Open Biopsy Of A Bone Near The Skin Surface

Virginia 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?

$2,825

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

Insurers have agreed to pay about $2,825 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $2,630 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$195$155 to $275
Facility feeThe hospital or surgery center$2,630$245 to $5,888

How much rates vary

Facilitymedian $2,630 · 10th to 90th $155 to $8,318Professionalmedian $195 · 10th to 90th $135 to $468
$100$200$500$1K$2K$5K$10Kfacility $2,630professional $195

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
$169.82
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,165.95
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$338.84

Where Virginia 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

Virginia· 29th of 50

$2,825

$195 physician + $2,630 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.