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Surgical Biopsy Of A Deep Bone

Georgia 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?

$4,927

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

Insurers have agreed to pay about $4,927 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $4,365 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$398 to $851
Facility feeThe hospital or surgery center$4,365$1,995 to $5,888

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,072 to $8,710Professionalmedian $562 · 10th to 90th $331 to $1,096
$100.0$1.0K$10.0Kfacility $4,365professional $562

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
$977.24
Median
$5,128.61
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,090.30
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$891.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$954.99

Where Georgia 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 feeGeorgia $4,927 · 19th 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.