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Open Biopsy Of A Bone Near The Skin Surface

West 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?

$3,121

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

Insurers have agreed to pay about $3,121 for this procedure. That total is two separate charges: $170 to the doctor who performs it, and $2,951 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$170$141 to $302
Facility feeThe hospital or surgery center$2,951$155 to $2,951

How much rates vary

Facilitymedian $2,951 · 10th to 90th $141 to $3,162Professionalmedian $170 · 10th to 90th $132 to $309
$200$500$1K$2K$5Kfacility $2,951professional $170

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
$141.25
Median
$2,951.21
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$275.42
Typical High
$1,737.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,890.45
Typical High
$12,022.64
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,454.71
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$234.42
Typical High
$371.54

Where West 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

West Virginia· 26th of 50

$3,121

$170 physician + $2,951 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.