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Open Biopsy of a Chest-Area Spinal Bone

Missouri 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?

$4,183

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

Insurers have agreed to pay about $4,183 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,715 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$468$407 to $617
Facility feeThe hospital or surgery center$3,715$2,455 to $5,248

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,202 to $7,762Professionalmedian $468 · 10th to 90th $355 to $2,089
$500$1K$2K$5K$10Kfacility $3,715professional $468

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
$3,235.94
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$660.69
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$758.58

Where Missouri 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

Missouri· 26th of 50

$4,183

$468 physician + $3,715 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.