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Open Biopsy of a Neck or Lower Back Vertebra

Virginia 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 $3,548 · 10th–90th $437$10,0000%5%10th90th$3,548Professionalmedian $562 · 10th–90th $398$8130%20%10th90th$562$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$5,128.61
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$831.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$8,317.64
Typical High
$17,378.01