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Open Biopsy of a Chest-Area Spinal Bone

Illinois 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?

$2,675

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

Insurers have agreed to pay about $2,675 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $2,138 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$537$398 to $776
Facility feeThe hospital or surgery center$2,138$1,230 to $5,129

How much rates vary

Facilitymedian $2,138 · 10th to 90th $724 to $9,333Professionalmedian $537 · 10th to 90th $355 to $1,122
$500$1K$2K$5K$10K$20Kfacility $2,138professional $537

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
$676.08
Median
$1,862.09
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,737.80
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,365.16
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$851.14

Where Illinois 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

Illinois· 39th of 50

$2,675

$537 physician + $2,138 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.