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Surgical Biopsy Of A Deep Bone

North Carolina 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?

$3,158

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,158 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $2,512 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$646$398 to $851
Facility feeThe hospital or surgery center$2,512$646 to $7,943

How much rates vary

Facilitymedian $2,512 · 10th to 90th $355 to $8,318Professionalmedian $646 · 10th to 90th $331 to $1,202
$100.0$500.0$2.0K$10.0K$50.0Kfacility $2,512professional $646

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
$457.09
Median
$6,165.95
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$691.83
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,309.57
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$954.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,467.37
Typical High
$3,467.37

Where North Carolina 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 feeNorth Carolina $3,158 · 33rd 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.