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Surgical Biopsy Of A Deep Bone

Michigan 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?

$4,575

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

Insurers have agreed to pay about $4,575 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $4,074 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$501$347 to $646
Facility feeThe hospital or surgery center$4,074$1,479 to $4,898

How much rates vary

Facilitymedian $4,074 · 10th to 90th $575 to $6,918Professionalmedian $501 · 10th to 90th $309 to $708
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,074professional $501

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
$575.44
Median
$4,073.80
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$1,096.48
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,786.30
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$831.76

Where Michigan 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 feeMichigan $4,575 · 21st 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.