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Open Biopsy of a Chest-Area Spinal Bone

Connecticut 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?

$8,287

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

Insurers have agreed to pay about $8,287 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $7,762 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$525$380 to $851
Facility feeThe hospital or surgery center$7,762$5,248 to $9,333

How much rates vary

Facilitymedian $7,762 · 10th to 90th $4,677 to $11,749Professionalmedian $525 · 10th to 90th $347 to $1,318
$500$1K$2K$5K$10Kfacility $7,762professional $525

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
$4,570.88
Median
$7,079.46
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,047.13
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$1,023.29

Where Connecticut 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

Connecticut· 4th of 50

$8,287

$525 physician + $7,762 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.