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Bone Marrow Biopsy

Idaho 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?

$754

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

Insurers have agreed to pay about $754 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $603 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$151$100 to $257
Facility feeThe hospital or surgery center$603$204 to $4,169

How much rates vary

Facilitymedian $603 · 10th to 90th $105 to $5,495Professionalmedian $151 · 10th to 90th $78 to $309
$100$200$500$1K$2K$5K$10Kfacility $603professional $151

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
$4,466.84
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,584.89
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$5,248.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$263.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$512.86
Typical High
$2,570.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$288.40

Where Idaho 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

Idaho· 42nd of 50

$754

$151 physician + $603 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.