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Surgical Biopsy Of A Deep Bone

North Dakota 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 October 2026.

How much does Surgical Biopsy Of A Deep Bone cost?

$2,159

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $2,159 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $1,514 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$646$575 to $724
Facility feeThe hospital or surgery center$1,514$347 to $2,344

How much rates vary

Facilitymedian $1,514 · 10th to 90th $347 to $2,754Professionalmedian $646 · 10th to 90th $363 to $813
$500$1K$2K$5K$10K$20Kfacility $1,514professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$346.74
Median
$346.74
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$436.52
Typical High
$776.25
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$691.83
Typical High
$812.83
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$645.65
Median
$831.76
Typical High
$977.24
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$371.54
Median
$478.63
Typical High
$562.34
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$398.11
Median
$512.86
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$691.83
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$1,513.56
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$660.69
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$2,630.27
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$645.65
Typical High
$707.95

Where North Dakota sits

The same service costs 6.1 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

North Dakota· 36th of 51

$2,159

$646 physician + $1,514 facility

OK $6,602MT $1,074

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.