go back

Open Biopsy of a Chest-Area Spinal Bone

North Carolina 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?

$1,483

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,483 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $933 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$550$398 to $759
Facility feeThe hospital or surgery center$933$490 to $5,248

How much rates vary

Facilitymedian $933 · 10th to 90th $380 to $8,710Professionalmedian $550 · 10th to 90th $380 to $1,096
$500$1K$2K$5K$10Kfacility $933professional $550

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
$380.19
Median
$1,445.44
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$8,709.64
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$812.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79

Where North Carolina 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

North Carolina· 44th of 50

$1,483

$550 physician + $933 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.