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Open Biopsy of a Neck or Lower Back Vertebra

Hawaii 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.

Rates data updated July 2026.

How much does Open Biopsy of a Neck or Lower Back Vertebra cost?

$1,047

Typical facility fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $501 to $4,467.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $501 · 10th to 90th $468 to $708
$500.0$1.0K$2.0K$5.0Kfacility $4,467professional $501

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72

Where Hawaii sits

The same service costs 53.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $1,047 · 42nd of 50
IN $22,387WV $417

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.