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Open Biopsy of a Chest-Area Spinal Bone

West 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?

$788

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

Insurers have agreed to pay about $788 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $380 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$380 to $447
Facility feeThe hospital or surgery center$380$380 to $1,413

How much rates vary

Facilitymedian $380 · 10th to 90th $380 to $1,738Professionalmedian $407 · 10th to 90th $347 to $562
$500$1K$2K$5K$10Kfacility $380professional $407

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
$380.19
Median
$380.19
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$446.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$512.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$630.96

Where West 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

West Virginia· 50th of 50

$788

$407 physician + $380 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.