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Bone Marrow Biopsy

Montana 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?

$423

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

Insurers have agreed to pay about $423 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $275 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$148$70.79 to $191
Facility feeThe hospital or surgery center$275$123 to $288

How much rates vary

Facilitymedian $275 · 10th to 90th $117 to $3,715Professionalmedian $148 · 10th to 90th $68 to $288
$100$1K$10K$100Kfacility $275professional $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
$2,884.03
Median
$2,884.03
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$138.04
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$275.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$134.90
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$302.00

Where Montana 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

Montana· 47th of 50

$423

$148 physician + $275 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.