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Surgical Biopsy Of A Deep Bone

New Mexico 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?

$4,494

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

Insurers have agreed to pay about $4,494 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $3,981 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$513$417 to $631
Facility feeThe hospital or surgery center$3,981$794 to $8,511

How much rates vary

Facilitymedian $3,981 · 10th to 90th $457 to $12,023Professionalmedian $513 · 10th to 90th $316 to $1,259
$50.0$200.0$1.0K$5.0Kfacility $3,981professional $513

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
$478.63
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,317.64
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$1,096.48

Where New Mexico 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 Mexico $4,494 · 22nd 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.