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Open Biopsy of a Chest-Area Spinal Bone

New Jersey 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?

$7,326

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

Insurers have agreed to pay about $7,326 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $6,918 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$407$372 to $759
Facility feeThe hospital or surgery center$6,918$5,754 to $9,772

How much rates vary

Facilitymedian $6,918 · 10th to 90th $3,715 to $11,749Professionalmedian $407 · 10th to 90th $324 to $2,399
$500$1K$2K$5K$10Kfacility $6,918professional $407

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
$4,168.69
Median
$6,918.31
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$676.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,471.29
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,079.46
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$954.99

Where New Jersey 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 Jersey· 7th of 50

$7,326

$407 physician + $6,918 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.