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Bone Marrow Biopsy

Maryland 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?

$310

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

Insurers have agreed to pay about $310 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $151 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$158$77.62 to $209
Facility feeThe hospital or surgery center$151$64.57 to $724

How much rates vary

Facilitymedian $151 · 10th to 90th $33 to $2,138Professionalmedian $158 · 10th to 90th $68 to $427
$50$100$200$500$1K$2K$5Kfacility $151professional $158

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
$33.11
Median
$128.82
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$158.49
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$162.18
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$147.91
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$263.03

Where Maryland 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

Maryland· 49th of 50

$310

$158 physician + $151 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.