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Open Biopsy Of A Bone Near The Skin Surface

Vermont 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?

$275

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $166 to $275.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $275 · 10th to 90th $166 to $309
$100$200$500professional $275

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
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$389.05
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$446.68

Where Vermont sits

The same service costs 18.6 times more in California than in Delaware. 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.

Vermont· 19th of 51

$275

CA $2,630DE $141

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.