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Open Biopsy of a Chest-Area Spinal Bone

Wisconsin 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?

$8,362

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

Insurers have agreed to pay about $8,362 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $7,586 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$776$468 to $1,349
Facility feeThe hospital or surgery center$7,586$5,129 to $9,120

How much rates vary

Facilitymedian $7,586 · 10th to 90th $871 to $12,023Professionalmedian $776 · 10th to 90th $372 to $1,862
$50$200$1K$5Kfacility $7,586professional $776

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
$371.54
Median
$776.25
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$13,182.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$776.25
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,548.82
Typical High
$1,737.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$812.83
Typical High
$5,754.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$870.96
Typical High
$11,481.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$4,677.35
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$8,511.38
Typical High
$9,120.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$891.25
Typical High
$1,584.89
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$1,380.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,348.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,456.54
Typical High
$9,332.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$2,630.27
Typical High
$4,897.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$10,232.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,621.81

Where Wisconsin 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

Wisconsin· 3rd of 50

$8,362

$776 physician + $7,586 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.