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Surgical Biopsy Of A Deep Bone

Montana 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?

$1,178

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

Insurers have agreed to pay about $1,178 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $603 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$575$479 to $776
Facility feeThe hospital or surgery center$603$589 to $977

How much rates vary

Facilitymedian $603 · 10th to 90th $479 to $7,762Professionalmedian $575 · 10th to 90th $324 to $1,738
$100.0$1.0K$10.0K$100.0Kfacility $603professional $575

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
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$831.76
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$1,047.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$1,000.00

Where Montana 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 feeMontana $1,178 · 47th 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.