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Open Biopsy of a Chest-Area Spinal Bone

Vermont 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?

$457

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $457 to $479.

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

Professionalmedian $457 · 10th to 90th $457 to $646
$500$1Kprofessional $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
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$794.33
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$954.99

Where Vermont 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.

Vermont· 45th of 51

$457

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.