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Open Biopsy of a Neck or Lower Back Vertebra

Utah 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 $6,026 · 10th–90th $3,162$10,2330%10%10th90th$6,026Professionalmedian $661 · 10th–90th $407$1,0000%10%20%10th90th$661$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$588.84
Median
$5,888.44
Typical High
$8,511.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,791.08