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Open Biopsy of a Chest-Area Spinal Bone

Washington, DC 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?

$589

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $407 to $3,981.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $407 to $7,762Professionalmedian $407 · 10th to 90th $389 to $832
$500$1K$2K$5K$10K$20Kfacility $4,074professional $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
$407.38
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$407.38
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$2,818.38
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$831.76
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$10,000.00
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,071.52

Where Washington, DC sits

The same service costs 12.6 times more in California than in Delaware. 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.

Washington, DC· 31st of 51

$589

CA $4,898DE $389

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.