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Surgical Biopsy Of A Deep Bone

Virginia 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?

$3,737

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

Insurers have agreed to pay about $3,737 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $3,236 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$389 to $676
Facility feeThe hospital or surgery center$3,236$562 to $6,310

How much rates vary

Facilitymedian $3,236 · 10th to 90th $398 to $9,120Professionalmedian $501 · 10th to 90th $331 to $1,202
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,236professional $501

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
$436.52
Median
$4,897.79
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$831.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$812.83
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Sentara
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,165.95
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$870.96

Where Virginia 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 feeVirginia $3,737 · 30th 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.