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Surgical Biopsy Of A Deep Bone

Maryland 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?

$911

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

Insurers have agreed to pay about $911 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $513 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$398$347 to $794
Facility feeThe hospital or surgery center$513$324 to $5,248

How much rates vary

Facilitymedian $513 · 10th to 90th $178 to $5,248Professionalmedian $398 · 10th to 90th $316 to $1,660
$1.0$10.0$100.0$1.0Kfacility $513professional $398

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
$177.83
Median
$338.84
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$1,659.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$891.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$478.63

Where Maryland 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 feeMaryland $911 · 49th 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.