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Surgical Biopsy Of A Deep Bone

Iowa 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?

$5,529

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

Insurers have agreed to pay about $5,529 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $4,898 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$631$347 to $891
Facility feeThe hospital or surgery center$4,898$3,388 to $6,607

How much rates vary

Facilitymedian $4,898 · 10th to 90th $661 to $7,943Professionalmedian $631 · 10th to 90th $309 to $1,950
$100.0$500.0$2.0K$10.0Kfacility $4,898professional $631

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
$933.25
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$954.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,288.25
Typical High
$7,079.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$831.76
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,202.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,309.57
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$691.83
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$741.31

Where Iowa 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 feeIowa $5,529 · 16th 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.