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Bone Marrow Biopsy

Iowa rates for HCPCS 38221

This procedure obtains a small core sample of solid bone marrow tissue, usually from the back of the hip bone, using a specialized needle. The sample is examined under a microscope to help diagnose blood disorders, certain cancers, or infections affecting the marrow. It is often done alongside a separate marrow fluid sampling in the same visit.

Rates data updated July 2026.

How much does Bone Marrow Biopsy cost?

$2,769

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $2,769 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $2,512 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$257$151 to $407
Facility feeThe hospital or surgery center$2,512$603 to $4,266

How much rates vary

Facilitymedian $2,512 · 10th to 90th $195 to $6,761Professionalmedian $257 · 10th to 90th $76 to $912
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $257

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
$257.04
Median
$2,570.40
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$257.04
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$354.81
Typical High
$478.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$281.84
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$407.38
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$354.81
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,715.35
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$186.21
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$389.05

Where Iowa sits

The same service costs 22.3 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.

Physician feeFacility fee

Iowa· 18th of 50

$2,769

$257 physician + $2,512 facility

IN $6,755WV $303

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.