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Surgical Biopsy Of A Deep Bone

Illinois 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?

$2,675

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

Insurers have agreed to pay about $2,675 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $2,138 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$537$372 to $661
Facility feeThe hospital or surgery center$2,138$1,202 to $5,012

How much rates vary

Facilitymedian $2,138 · 10th to 90th $537 to $8,128Professionalmedian $537 · 10th to 90th $324 to $977
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,138professional $537

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
$489.78
Median
$1,862.09
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$2,511.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$436.52
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$977.24

Where Illinois 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 feeIllinois $2,675 · 40th 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.