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Open Biopsy of a Chest-Area Spinal Bone

South Carolina 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?

$7,365

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $7,365 for this procedure. That total is two separate charges: $447 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$380 to $513
Facility feeThe hospital or surgery center$6,918$813 to $12,023

How much rates vary

Facilitymedian $6,918 · 10th to 90th $447 to $20,417Professionalmedian $447 · 10th to 90th $339 to $741
$50$200$1K$5K$20Kfacility $6,918professional $447

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
$446.68
Median
$11,748.98
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,888.44
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$12,589.25
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$660.69

Where South Carolina 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

South Carolina· 6th of 50

$7,365

$447 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.