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Surgical Biopsy Of A Deep Bone

Delaware 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?

$7,591

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

Insurers have agreed to pay about $7,591 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $7,244 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$331 to $603
Facility feeThe hospital or surgery center$7,244$4,898 to $7,943

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,000 to $7,943Professionalmedian $347 · 10th to 90th $309 to $891
$200.0$500.0$1.0K$2.0K$5.0Kfacility $7,244professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$588.84
Typical High
$954.99
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$831.76

Where Delaware sits

The same service costs 14.3 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeDelaware $7,591 · 5th of 50
IN $10,427WV $727

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.