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Open Biopsy of a Chest-Area Spinal Bone

Kentucky 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?

$3,769

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

Insurers have agreed to pay about $3,769 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $3,388 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$380$339 to $479
Facility feeThe hospital or surgery center$3,388$2,291 to $6,761

How much rates vary

Facilitymedian $3,388 · 10th to 90th $741 to $8,511Professionalmedian $380 · 10th to 90th $324 to $676
$500$1K$2K$5K$10Kfacility $3,388professional $380

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
$407.38
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,168.69
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$758.58

Where Kentucky 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

Kentucky· 33rd of 50

$3,769

$380 physician + $3,388 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.