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Surgical Biopsy Of A Deep Bone

New York 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?

$5,525

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

Insurers have agreed to pay about $5,525 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $5,012 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$363 to $776
Facility feeThe hospital or surgery center$5,012$3,020 to $7,586

How much rates vary

Facilitymedian $5,012 · 10th to 90th $646 to $10,965Professionalmedian $513 · 10th to 90th $316 to $1,318
$10.0$100.0$1.0K$10.0K$100.0Kfacility $5,012professional $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
$512.86
Median
$4,677.35
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$1,348.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$724.44
Typical High
$2,238.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$776.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$1,000.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$831.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$1,584.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$2,344.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$660.69
Typical High
$1,122.02

Where New York 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 York $5,525 · 17th 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.