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Surgical Biopsy Of A Deep Bone

Utah 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?

$6,565

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

Insurers have agreed to pay about $6,565 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $5,888 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$676$468 to $1,072
Facility feeThe hospital or surgery center$5,888$3,388 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $891 to $9,120Professionalmedian $676 · 10th to 90th $324 to $1,862
$50.0$200.0$1.0K$5.0Kfacility $5,888professional $676

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
$891.25
Median
$6,025.60
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$741.31
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,513.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$8,511.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$1,348.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$630.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$831.76

Where Utah 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 feeUtah $6,565 · 10th 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.