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Surgical Biopsy Of A Deep Bone

South 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 July 2026.

How much does Surgical Biopsy Of A Deep Bone cost?

$1,425

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

Insurers have agreed to pay about $1,425 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $794 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$427 to $776
Facility feeThe hospital or surgery center$794$537 to $3,548

How much rates vary

Facilitymedian $794 · 10th to 90th $407 to $4,365Professionalmedian $631 · 10th to 90th $282 to $955
$500.0$1.0K$2.0K$5.0Kfacility $794professional $631

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. 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
Global
Typical Low
$346.74
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$691.83
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$977.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$776.25

Where South Dakota 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 Dakota $1,425 · 45th 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.