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Open Biopsy of a Chest-Area Spinal Bone

Rhode Island 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?

$501

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $355 to $589.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,818 to $9,550Professionalmedian $501 · 10th to 90th $355 to $741
$500$1K$2K$5K$10Kfacility $4,266professional $501

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$912.01

Where Rhode Island sits

The same service costs 12.6 times more in California than in Delaware. 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.

Rhode Island· 37th of 51

$501

CA $4,898DE $389

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.