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Open Biopsy of a Chest-Area Spinal Bone

Utah 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?

$5,666

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

Insurers have agreed to pay about $5,666 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $5,129 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$380 to $1,023
Facility feeThe hospital or surgery center$5,129$3,388 to $7,762

How much rates vary

Facilitymedian $5,129 · 10th to 90th $537 to $8,913Professionalmedian $537 · 10th to 90th $355 to $2,089
$50$200$1K$5Kfacility $5,129professional $537

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
$537.03
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$812.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$660.69

Where Utah 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

Utah· 12th of 50

$5,666

$537 physician + $5,129 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.