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Surgical Biopsy Of A Deep Bone

Maine 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?

$7,547

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

Insurers have agreed to pay about $7,547 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $7,079 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$380 to $603
Facility feeThe hospital or surgery center$7,079$7,079 to $7,079

How much rates vary

Facilitymedian $7,079 · 10th to 90th $5,888 to $7,079Professionalmedian $468 · 10th to 90th $339 to $724
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $7,079professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$691.83
Typical High
$1,023.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$870.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$851.14

Where Maine 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 feeMaine $7,547 · 6th 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.