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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.

Rates data updated July 2026.

How much does Open Biopsy of a Neck or Lower Back Vertebra cost?

$832

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $692 to $933.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $537 to $11,749Professionalmedian $891 · 10th to 90th $676 to $1,047
$500$1K$2K$5K$10K$20Kfacility $832professional $891

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
$1,071.52
Median
$7,943.28
Typical High
$17,378.01
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
$1,000.00
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
$17,378.01
Median
$23,442.29
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$14,791.08
Typical High
$25,118.86

Where Oregon sits

The same service costs 53.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 45th of 50

$832

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.