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Bone Marrow Biopsy

South Dakota 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?

$589

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $589 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $427 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$87.10 to $263
Facility feeThe hospital or surgery center$427$162 to $3,715

How much rates vary

Facilitymedian $427 · 10th to 90th $93 to $3,715Professionalmedian $162 · 10th to 90th $69 to $355
$100$200$500$1K$2Kfacility $427professional $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. Small sample; interpret with caution. 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
$3,715.35
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$177.83
Avera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$186.21
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$407.38

Where South Dakota 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

South Dakota· 44th of 50

$589

$162 physician + $427 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.