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Bone Marrow Biopsy

Ohio 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?

$2,785

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

Insurers have agreed to pay about $2,785 for this procedure. That total is two separate charges: $155 to the doctor who performs it, and $2,630 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$155$81.28 to $224
Facility feeThe hospital or surgery center$2,630$1,288 to $3,981

How much rates vary

Facilitymedian $2,630 · 10th to 90th $170 to $9,120Professionalmedian $155 · 10th to 90th $68 to $427
$50$200$1K$5Kfacility $2,630professional $155

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
$154.88
Median
$2,630.27
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$154.88
Typical High
$3,162.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$309.03
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,778.28
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$165.96
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$257.04

Where Ohio 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

Ohio· 17th of 50

$2,785

$155 physician + $2,630 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.