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Surgical Biopsy Of A Deep Bone

Washington, DC rates for HCPCS 20245

This procedure surgically opens tissue to reach and remove a sample from a deep bone, such as a long bone in the arm, leg, or pelvis, for laboratory examination. It requires a more involved surgical approach than sampling a bone closer to the skin surface, because of how far the bone sits beneath overlying muscle and tissue.

Rates data updated July 2026.

How much does Surgical Biopsy Of A Deep Bone cost?

$525

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $347 to $3,802.

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

Facilitymedian $4,074 · 10th to 90th $347 to $7,762Professionalmedian $347 · 10th to 90th $339 to $776
$100.0$500.0$2.0K$10.0Kfacility $4,074professional $347

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
$346.74
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$524.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$2,818.38
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$707.95
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$977.24

Where Washington, DC sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $525 · 43rd of 51
CA $3,388DE $347

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.