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Open Biopsy of a Neck or Lower Back Vertebra

Oregon 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 $832 · 10th–90th $550$13,1830%20%10th90th$832Professionalmedian $891 · 10th–90th $676$1,0470%50%10th90th$891$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$831.76
Median
$1,096.48
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,047.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,047.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$22,387.21
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$20,892.96
Typical High
$31,622.78