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Surgical Biopsy Of A Deep Bone

Florida 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?

$6,442

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

Insurers have agreed to pay about $6,442 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $6,026 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$417$324 to $631
Facility feeThe hospital or surgery center$6,026$2,344 to $10,471

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,000 to $12,882Professionalmedian $417 · 10th to 90th $302 to $912
$100.0$1.0K$10.0Kfacility $6,026professional $417

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
$851.14
Median
$4,677.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$660.69
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,019.95
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,202.26
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,122.02
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,511.38
Typical High
$16,982.44
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$912.01
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$363.08

Where Florida 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 feeFlorida $6,442 · 11th 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.