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Open Biopsy of a Chest-Area Spinal Bone

Alabama rates for HCPCS 20250

This procedure surgically opens the skin and tissue to reach a vertebra, one of the bones of the spine, in the chest (thoracic) region, and removes a tissue sample directly from the bone. It is used to diagnose the cause of a suspicious spinal bone lesion, such as infection, cancer, or an unexplained fracture, when less invasive sampling has not given a clear answer. The incision is closed after the sample is taken.

Rates data updated July 2026.

How much does Open Biopsy of a Chest-Area Spinal Bone cost?

$4,038

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

Insurers have agreed to pay about $4,038 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $3,631 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$347 to $617
Facility feeThe hospital or surgery center$3,631$1,259 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $871 to $8,913Professionalmedian $407 · 10th to 90th $309 to $741
$500$1K$2K$5K$10Kfacility $3,631professional $407

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
$794.33
Median
$1,230.27
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,467.37
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$660.69

Where Alabama sits

The same service costs 13.5 times more in Indiana than in West Virginia. 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

Alabama· 28th of 50

$4,038

$407 physician + $3,631 facility

IN $10,640WV $788

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.