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Bone Marrow Biopsy

Maine 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?

$1,300

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

Insurers have agreed to pay about $1,300 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $1,148 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$151$81.28 to $209
Facility feeThe hospital or surgery center$1,148$741 to $3,236

How much rates vary

Facilitymedian $1,148 · 10th to 90th $347 to $15,849Professionalmedian $151 · 10th to 90th $71 to $282
$100$200$500$1K$2K$5K$10Kfacility $1,148professional $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
$346.74
Median
$1,148.15
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$147.91
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$363.08
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$181.97
Typical High
$323.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$2,344.23
Typical High
$15,848.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$147.91
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$165.96
Typical High
$338.84

Where Maine 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

Maine· 36th of 50

$1,300

$151 physician + $1,148 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.