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Open Biopsy of a Chest-Area Spinal Bone

Montana 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?

$1,279

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

Insurers have agreed to pay about $1,279 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $676 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$603$513 to $708
Facility feeThe hospital or surgery center$676$646 to $692

How much rates vary

Facilitymedian $676 · 10th to 90th $513 to $832Professionalmedian $603 · 10th to 90th $363 to $1,023
$100$200$500$1K$2K$5K$10Kfacility $676professional $603

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
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$660.69
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$676.08
Typical High
$831.76
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$676.08
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$758.58

Where Montana 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

Montana· 47th of 50

$1,279

$603 physician + $676 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.