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Surgical Biopsy Of A Deep Bone

Indiana 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?

$10,427

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

Insurers have agreed to pay about $10,427 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $10,000 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$331 to $589
Facility feeThe hospital or surgery center$10,000$6,166 to $15,136

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,738 to $17,783Professionalmedian $427 · 10th to 90th $309 to $871
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $10,000professional $427

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
$8,128.31
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$338.84
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$707.95
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$933.25

Where Indiana 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 feeIndiana $10,427 · 1st 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.