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Surgical Biopsy Of A Deep Bone

New Jersey 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?

$7,286

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,286 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $6,761 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$525$339 to $933
Facility feeThe hospital or surgery center$6,761$5,129 to $8,913

How much rates vary

Facilitymedian $6,761 · 10th to 90th $3,467 to $10,965Professionalmedian $525 · 10th to 90th $309 to $3,236
$100.0$500.0$2.0K$10.0Kfacility $6,761professional $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
$4,168.69
Median
$6,760.83
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$524.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,120.11
Typical High
$14,454.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$1,047.13

Where New Jersey 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 feeNew Jersey $7,286 · 7th 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.