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Open Biopsy of a Neck or Lower Back Vertebra

Texas 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 $3,715 · 10th–90th $661$14,1250%5%10th90th$3,715$100.0$500.0$2.0K$10.0K$50.0K

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
$870.96
Median
$3,630.78
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$9,332.54
Typical High
$17,782.79
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$407.38
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$45,708.82
Typical High
$45,708.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$5,248.07
Typical High
$10,232.93