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Open Biopsy of a Chest-Area Spinal Bone

Iowa 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?

$5,500

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

Insurers have agreed to pay about $5,500 for this procedure. That total is two separate charges: $603 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$389 to $871
Facility feeThe hospital or surgery center$4,898$3,388 to $6,761

How much rates vary

Facilitymedian $4,898 · 10th to 90th $661 to $8,913Professionalmedian $603 · 10th to 90th $347 to $1,259
$500$1K$2K$5K$10Kfacility $4,898professional $603

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
$933.25
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$1,096.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$741.31
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$1,071.52
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,079.46
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,071.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$954.99

Where Iowa 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

Iowa· 14th of 50

$5,500

$603 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.