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Bone Marrow Biopsy

New Mexico 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?

$1,185

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $1,185 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $1,047 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$138$77.62 to $191
Facility feeThe hospital or surgery center$1,047$257 to $1,738

How much rates vary

Facilitymedian $1,047 · 10th to 90th $102 to $2,754Professionalmedian $138 · 10th to 90th $68 to $347
$100$1K$10K$100Kfacility $1,047professional $138

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
$91.20
Median
$1,000.00
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,148.15
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$151.36
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,630.27
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$316.23

Where New Mexico 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

New Mexico· 38th of 50

$1,185

$138 physician + $1,047 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.