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Open Biopsy of a Neck or Lower Back Vertebra

Washington 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 $1,096 · 10th–90th $537$20,8930%5%10%10th90th$1,096$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
$794.33
Median
$9,120.11
Typical High
$20,892.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$19,054.61
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$10,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$851.14
Typical High
$8,128.31
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$831.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$2,187.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$19,952.62
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$20,892.96
Typical High
$41,686.94