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Open Biopsy of a Chest-Area Spinal Bone

Arizona 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?

$4,209

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

Insurers have agreed to pay about $4,209 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $3,802 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$407$355 to $589
Facility feeThe hospital or surgery center$3,802$2,630 to $5,495

How much rates vary

Facilitymedian $3,802 · 10th to 90th $741 to $7,762Professionalmedian $407 · 10th to 90th $331 to $1,096
$500$1K$2K$5Kfacility $3,802professional $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
$2,187.76
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,884.03
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,981.07
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$724.44

Where Arizona 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

Arizona· 25th of 50

$4,209

$407 physician + $3,802 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.