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Surgical Biopsy Of A Deep Bone

Missouri 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?

$4,073

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

Insurers have agreed to pay about $4,073 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $3,548 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$372 to $794
Facility feeThe hospital or surgery center$3,548$2,291 to $5,370

How much rates vary

Facilitymedian $3,548 · 10th to 90th $955 to $7,943Professionalmedian $525 · 10th to 90th $316 to $1,820
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,548professional $525

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
$3,162.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$1,949.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$741.31
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$660.69
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$851.14

Where Missouri 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 feeMissouri $4,073 · 27th 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.