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Open Biopsy of a Chest-Area Spinal Bone

Delaware 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?

$5,287

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

Insurers have agreed to pay about $5,287 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $4,898 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$389$380 to $407
Facility feeThe hospital or surgery center$4,898$2,188 to $7,244

How much rates vary

Facilitymedian $4,898 · 10th to 90th $417 to $7,244Professionalmedian $389 · 10th to 90th $339 to $912
$500$1K$2K$5Kfacility $4,898professional $389

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$724.44
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$660.69

Where Delaware 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

Delaware· 17th of 50

$5,287

$389 physician + $4,898 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.