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Open Biopsy of a Chest-Area Spinal Bone

North Dakota 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?

$1,156

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

Insurers have agreed to pay about $1,156 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $380 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$776$380 to $912
Facility feeThe hospital or surgery center$380$380 to $5,012

How much rates vary

Facilitymedian $380 · 10th to 90th $380 to $8,511Professionalmedian $776 · 10th to 90th $372 to $1,023
$500$1K$2K$5Kfacility $380professional $776

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
$380.19
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$954.99

Where North Dakota 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 Dakota· 48th of 50

$1,156

$776 physician + $380 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.