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Open Biopsy of a Chest-Area Spinal Bone

Virginia 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?

$3,704

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

Insurers have agreed to pay about $3,704 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,236 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$468$407 to $631
Facility feeThe hospital or surgery center$3,236$490 to $7,079

How much rates vary

Facilitymedian $3,236 · 10th to 90th $407 to $8,913Professionalmedian $468 · 10th to 90th $355 to $1,349
$500$1K$2K$5K$10Kfacility $3,236professional $468

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
$5,011.87
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$977.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$758.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$7,943.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$758.58

Where Virginia 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

Virginia· 35th of 50

$3,704

$468 physician + $3,236 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.