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Open Biopsy of a Neck or Lower Back Vertebra

Illinois 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 $3,090 · 10th–90th $794$9,3330%5%10%10th90th$3,090Professionalmedian $759 · 10th–90th $468$2,9510%5%10%10th90th$759$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,884.03
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$10,232.93
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$2,951.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$6,025.60
Typical High
$10,715.19