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Open Biopsy of a Chest-Area Spinal Bone

New York 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?

$5,355

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

Insurers have agreed to pay about $5,355 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $4,898 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$380 to $692
Facility feeThe hospital or surgery center$4,898$3,020 to $7,762

How much rates vary

Facilitymedian $4,898 · 10th to 90th $603 to $10,965Professionalmedian $457 · 10th to 90th $339 to $1,202
$500$1K$2K$5K$10Kfacility $4,898professional $457

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
$489.78
Median
$4,365.16
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$1,000.00
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,862.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,513.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$933.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$812.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,819.70
Univera
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$1,659.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$1,096.48

Where New York 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 York· 16th of 50

$5,355

$457 physician + $4,898 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.