go back

Open Biopsy of a Chest-Area Spinal Bone

Indiana 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?

$10,640

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

Insurers have agreed to pay about $10,640 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $10,233 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 5 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 $525
Facility feeThe hospital or surgery center$10,233$6,457 to $15,136

How much rates vary

Facilitymedian $10,233 · 10th to 90th $1,738 to $17,783Professionalmedian $407 · 10th to 90th $339 to $759
$500$1K$2K$5K$10K$20Kfacility $10,233professional $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
$602.56
Median
$4,897.79
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$741.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$6,918.31
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$707.95

Where Indiana 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

Indiana· 1st of 50

$10,640

$407 physician + $10,233 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.