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Open Biopsy of a Neck or Lower Back Vertebra

Georgia 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 $5,370 · 10th–90th $1,230$11,2200%5%10%10th90th$5,370Professionalmedian $617 · 10th–90th $479$1,5140%10%20%10th90th$617$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
$1,174.90
Median
$5,370.32
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,677.35
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$4,786.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,370.32
Typical High
$8,511.38