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Bone Marrow Biopsy

Illinois 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?

$1,436

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

Insurers have agreed to pay about $1,436 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $1,288 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$148$77.62 to $234
Facility feeThe hospital or surgery center$1,288$537 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $145 to $5,129Professionalmedian $148 · 10th to 90th $68 to $309
$100$200$500$1K$2K$5K$10Kfacility $1,288professional $148

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
$131.83
Median
$1,258.93
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$144.54
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$2,089.30
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$316.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$234.42
Typical High
$676.08
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$154.88
Typical High
$302.00

Where Illinois 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

Illinois· 32nd of 50

$1,436

$148 physician + $1,288 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.