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Surgical Biopsy Of A Deep Bone

South 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?

$5,536

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

Insurers have agreed to pay about $5,536 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $5,129 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$407$339 to $631
Facility feeThe hospital or surgery center$5,129$692 to $10,965

How much rates vary

Facilitymedian $5,129 · 10th to 90th $407 to $20,417Professionalmedian $407 · 10th to 90th $309 to $851
$100.0$1.0K$10.0Kfacility $5,129professional $407

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
$398.11
Median
$9,772.37
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,623.41
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$660.69
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$10,715.19
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$912.01

Where South 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 feeSouth Carolina $5,536 · 15th 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.