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Bone Marrow Biopsy

Kentucky 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?

$4,819

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

Insurers have agreed to pay about $4,819 for this procedure. That total is two separate charges: $141 to the doctor who performs it, and $4,677 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$141$75.86 to $170
Facility feeThe hospital or surgery center$4,677$1,778 to $7,943

How much rates vary

Facilitymedian $4,677 · 10th to 90th $148 to $12,023Professionalmedian $141 · 10th to 90th $66 to $282
$100$200$500$1K$2K$5K$10Kfacility $4,677professional $141

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
$66.07
Median
$645.65
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$138.04
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,370.32
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$102.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$194.98
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,621.81
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$269.15

Where Kentucky 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

Kentucky· 4th of 50

$4,819

$141 physician + $4,677 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.