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Open Biopsy of a Chest-Area Spinal Bone

Florida 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?

$7,326

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

Insurers have agreed to pay about $7,326 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $6,918 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$355 to $490
Facility feeThe hospital or surgery center$6,918$2,455 to $10,965

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,000 to $14,125Professionalmedian $407 · 10th to 90th $324 to $741
$50$200$1K$5K$20Kfacility $6,918professional $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
$851.14
Median
$4,897.79
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$741.31
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,584.89
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$851.14
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,762.47
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$426.58

Where Florida 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

Florida· 8th of 50

$7,326

$407 physician + $6,918 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.