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Open Biopsy of a Chest-Area Spinal Bone

Kansas 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?

$3,738

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

Insurers have agreed to pay about $3,738 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $3,162 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$575$389 to $661
Facility feeThe hospital or surgery center$3,162$1,202 to $6,457

How much rates vary

Facilitymedian $3,162 · 10th to 90th $550 to $8,511Professionalmedian $575 · 10th to 90th $380 to $661
$500$1K$2K$5K$10Kfacility $3,162professional $575

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
$1,202.26
Median
$3,890.45
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,454.71
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$645.65

Where Kansas 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

Kansas· 34th of 50

$3,738

$575 physician + $3,162 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.