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Surgical Biopsy Of A Deep Bone

Kentucky 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?

$3,779

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

Insurers have agreed to pay about $3,779 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,311 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$347 to $575
Facility feeThe hospital or surgery center$3,311$1,950 to $6,457

How much rates vary

Facilitymedian $3,311 · 10th to 90th $617 to $8,511Professionalmedian $468 · 10th to 90th $309 to $794
$50.0$200.0$1.0K$5.0Kfacility $3,311professional $468

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
$363.08
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$549.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$724.44
Typical High
$3,467.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$851.14

Where Kentucky 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 feeKentucky $3,779 · 29th 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.