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Open Biopsy of a Chest-Area Spinal Bone

Tennessee 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?

$3,924

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

Insurers have agreed to pay about $3,924 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $3,467 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$372 to $603
Facility feeThe hospital or surgery center$3,467$2,089 to $5,248

How much rates vary

Facilitymedian $3,467 · 10th to 90th $933 to $7,586Professionalmedian $457 · 10th to 90th $339 to $851
$500$1K$2K$5K$10K$20K$50Kfacility $3,467professional $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
$707.95
Median
$2,398.83
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$812.83

Where Tennessee 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

Tennessee· 29th of 50

$3,924

$457 physician + $3,467 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.