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Bone Marrow Biopsy

North Carolina 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?

$1,676

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,676 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $1,514 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$162$83.18 to $295
Facility feeThe hospital or surgery center$1,514$257 to $5,129

How much rates vary

Facilitymedian $1,514 · 10th to 90th $115 to $7,586Professionalmedian $162 · 10th to 90th $69 to $447
$100$200$500$1K$2K$5K$10Kfacility $1,514professional $162

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
$158.49
Median
$2,187.76
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$158.49
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$275.42
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$199.53
Typical High
$354.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$158.49
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$151.36
Typical High
$295.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,621.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,380.38

Where North Carolina 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

North Carolina· 29th of 50

$1,676

$162 physician + $1,514 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.