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Open Biopsy of a Chest-Area Spinal Bone

New Mexico 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?

$4,123

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

Insurers have agreed to pay about $4,123 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $3,715 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$407$355 to $631
Facility feeThe hospital or surgery center$3,715$631 to $8,710

How much rates vary

Facilitymedian $3,715 · 10th to 90th $468 to $12,023Professionalmedian $407 · 10th to 90th $347 to $1,230
$50$200$1K$5Kfacility $3,715professional $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
$602.56
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,943.28
Typical High
$12,589.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$9,549.93
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$776.25

Where New Mexico 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 Mexico· 27th of 50

$4,123

$407 physician + $3,715 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.