go back

Open Biopsy of a Neck or Lower Back Vertebra

Michigan 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 $4,898 · 10th–90th $3,311$6,9180%20%10th90th$4,898$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,073.80
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,918.31
Typical High
$15,135.61