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Open Biopsy of a Neck or Lower Back Vertebra

Nevada 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?

$2,570

Typical facility fee. In Nevada, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $708 to $5,012.

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 $2,818 · 10th to 90th $417 to $12,023Professionalmedian $427 · 10th to 90th $11 to $708
$10.0$100.0$1.0K$10.0Kfacility $2,818professional $427

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
$416.87
Median
$2,570.40
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,022.64
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$426.58
Typical High
$707.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,162.28
Typical High
$9,332.54

Where Nevada 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.

Nevada $2,570 · 37th 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.