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Surgical Biopsy Of A Deep Bone

Idaho 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?

$3,087

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

Insurers have agreed to pay about $3,087 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $2,512 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$575$468 to $708
Facility feeThe hospital or surgery center$2,512$851 to $5,495

How much rates vary

Facilitymedian $2,512 · 10th to 90th $389 to $8,913Professionalmedian $575 · 10th to 90th $347 to $891
$50.0$200.0$1.0K$5.0Kfacility $2,512professional $575

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
$4,466.84
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,548.13
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$741.31
Typical High
$1,258.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$812.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,456.54
Typical High
$9,332.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$954.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$2,951.21
Typical High
$4,786.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,888.44
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$660.69
Typical High
$1,096.48

Where Idaho 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 feeIdaho $3,087 · 36th 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.