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Open Biopsy of a Neck or Lower Back Vertebra

Washington, DC rates for HCPCS 20251

Through an incision, the surgeon exposes the body of a vertebra in the neck or the lower back and takes a sample of bone from it for laboratory examination. It is used when imaging shows infection, a growth, or unexplained destruction of the bone and a diagnosis is needed. Open sampling is chosen when a needle sample is not possible or has not given an answer.

Facilitymedian $4,074 · 10th–90th $1,413$7,7620%10%20%10th90th$4,074Professionalmedian $891 · 10th–90th $447$9770%50%10th90th$891$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$891.25
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$14,791.08
Typical High
$36,307.81