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Open Biopsy of a Chest-Area Spinal Bone

Michigan 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?

$5,388

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

Insurers have agreed to pay about $5,388 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $4,898 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$490$380 to $603
Facility feeThe hospital or surgery center$4,898$4,074 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $603 to $6,918Professionalmedian $490 · 10th to 90th $355 to $646
$200$500$1K$2K$5K$10Kfacility $4,898professional $490

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
$501.19
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$1,318.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$616.60

Where Michigan 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

Michigan· 15th of 50

$5,388

$490 physician + $4,898 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.