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Open Biopsy of a Chest-Area Spinal Bone

New Hampshire 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?

$4,521

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,521 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $3,890 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$631$457 to $813
Facility feeThe hospital or surgery center$3,890$1,318 to $6,310

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,318 to $11,482Professionalmedian $631 · 10th to 90th $398 to $1,023
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $631

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
$100.00
Median
$2,398.83
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$794.33
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$1,174.90
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$1,174.90
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$467.74

Where New Hampshire 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

New Hampshire· 23rd of 50

$4,521

$631 physician + $3,890 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.