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Open Biopsy of a Chest-Area Spinal Bone

Oregon 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?

$1,467

Typical total for the visit. In Oregon, July 2026.

Insurers have agreed to pay about $1,467 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $759 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$537 to $912
Facility feeThe hospital or surgery center$759$646 to $851

How much rates vary

Facilitymedian $759 · 10th to 90th $479 to $7,943Professionalmedian $708 · 10th to 90th $347 to $1,096
$100$500$2K$10Kfacility $759professional $708

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
$977.24
Median
$7,943.28
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$954.99
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,023.29
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$758.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$741.31
Typical High
$1,071.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,715.19
Typical High
$12,882.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,748.98
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,071.52

Where Oregon 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

Oregon· 45th of 50

$1,467

$708 physician + $759 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.