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Surgical Biopsy Of A Deep Bone

Tennessee 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?

$3,488

Typical total for the visit. In Tennessee, July 2026.

Insurers have agreed to pay about $3,488 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,020 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$468$355 to $676
Facility feeThe hospital or surgery center$3,020$2,089 to $4,365

How much rates vary

Facilitymedian $3,020 · 10th to 90th $933 to $6,457Professionalmedian $468 · 10th to 90th $309 to $1,549
$100.0$1.0K$10.0Kfacility $3,020professional $468

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
$724.44
Median
$2,454.71
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$1,380.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,000.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$933.25

Where Tennessee 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 feeTennessee $3,488 · 32nd 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.