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Open Biopsy of a Chest-Area Spinal Bone

Hawaii 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?

$2,570

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $646 to $5,370.

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 $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $2,570 · 10th to 90th $389 to $6,166
$50$100$200$500$1K$2K$5Kfacility $4,467professional $2,570

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$588.84
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$3,235.94
Typical High
$6,165.95

Where Hawaii 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.

Hawaii· 2nd of 51

$2,570

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.