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Open Biopsy of a Neck or Lower Back Vertebra

Nebraska 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?

$7,943

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $4,786 to $10,965.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $692 to $14,454Professionalmedian $955 · 10th to 90th $776 to $1,318
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,943professional $955

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$8,709.64
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$10,471.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,318.26
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$6,606.93
Typical High
$10,964.78

Where Nebraska 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.

Nebraska $7,943 · 6th 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.