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Surgical Biopsy Of A Deep Bone

West 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?

$727

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

Insurers have agreed to pay about $727 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $380 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$347 to $490
Facility feeThe hospital or surgery center$380$347 to $2,951

How much rates vary

Facilitymedian $380 · 10th to 90th $347 to $14,791Professionalmedian $347 · 10th to 90th $309 to $708
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $380professional $347

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
$346.74
Median
$380.19
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$446.68
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$776.25
Typical High
$3,467.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,454.71
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$588.84
Typical High
$954.99

Where West 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 feeWest Virginia $727 · 50th 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.