go back

Surgical Biopsy Of A Deep Bone

Massachusetts 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?

$3,928

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

Insurers have agreed to pay about $3,928 for this procedure. That total is two separate charges: $617 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$398 to $813
Facility feeThe hospital or surgery center$3,311$2,089 to $4,571

How much rates vary

Facilitymedian $3,311 · 10th to 90th $562 to $7,079Professionalmedian $617 · 10th to 90th $339 to $1,202
$100.0$1.0K$10.0Kfacility $3,311professional $617

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
$1,778.28
Median
$3,311.31
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,659.59
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,897.79
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$645.65
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,000.00
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$575.44
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$954.99
Health New England
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$2,754.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,897.79
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$645.65
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$1,174.90

Where Massachusetts 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 feeMassachusetts $3,928 · 28th 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.