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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 October 2026.

How much does Surgical Biopsy Of A Deep Bone cost?

$2,205

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

Insurers have agreed to pay about $2,205 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $1,514 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$692$562 to $794
Facility feeThe hospital or surgery center$1,514$603 to $1,698

How much rates vary

Facilitymedian $1,514 · 10th to 90th $479 to $1,820Professionalmedian $692 · 10th to 90th $407 to $955
$500$1K$2Kfacility $1,514professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$346.74
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$630.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$1,318.26
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$776.25
Typical High
$954.99
Medica
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$776.25
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$794.33
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$562.34
Typical High
$741.31
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$691.83
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$660.69
Typical High
$776.25

Where South Dakota sits

The same service costs 6.1 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 34th of 51

$2,205

$692 physician + $1,514 facility

OK $6,602MT $1,074

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.