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Open Biopsy of a Neck or Lower Back Vertebra

New Hampshire 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?

$9,772

Typical facility fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $9,772 for this service. Most negotiated rates run $1,479 to $11,220.

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 $9,772 · 10th to 90th $1,479 to $11,482
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $9,772

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
$100.00
Median
$2,398.83
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,000.00
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$501.19

Where New Hampshire 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.

New Hampshire $9,772 · 5th 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.