go back

Open Biopsy of a Chest-Area Spinal Bone

Colorado 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?

$7,014

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

Insurers have agreed to pay about $7,014 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $6,607 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$407$389 to $603
Facility feeThe hospital or surgery center$6,607$3,548 to $10,000

How much rates vary

Facilitymedian $6,607 · 10th to 90th $537 to $13,183Professionalmedian $407 · 10th to 90th $363 to $1,096
$500$1K$2K$5K$10K$20Kfacility $6,607professional $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
$1,862.09
Median
$5,495.41
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,238.72
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$891.25
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$812.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$1,023.29

Where Colorado 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

Colorado· 11th of 50

$7,014

$407 physician + $6,607 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.