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Open Biopsy of a Chest-Area Spinal Bone

Maryland 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?

$407

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $380 to $447.

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.

How much rates vary

Facilitymedian $646 · 10th to 90th $513 to $2,239Professionalmedian $407 · 10th to 90th $347 to $741
$500$1K$2K$5Kfacility $646professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$851.14
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$616.60

Where Maryland sits

The same service costs 12.6 times more in California than in Delaware. 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.

Maryland· 49th of 51

$407

CA $4,898DE $389

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.