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Open Biopsy of a Chest-Area Spinal Bone

Georgia 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?

$4,767

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

Insurers have agreed to pay about $4,767 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $4,266 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$398 to $676
Facility feeThe hospital or surgery center$4,266$1,995 to $5,888

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,122 to $7,586Professionalmedian $501 · 10th to 90th $347 to $1,000
$500$1K$2K$5K$10K$20Kfacility $4,266professional $501

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
$630.96
Median
$4,897.79
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,090.30
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$891.25

Where Georgia 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

Georgia· 20th of 50

$4,767

$501 physician + $4,266 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.