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Bone Marrow Biopsy

Virginia 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?

$1,382

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

Insurers have agreed to pay about $1,382 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $1,230 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$151$79.43 to $195
Facility feeThe hospital or surgery center$1,230$138 to $4,169

How much rates vary

Facilitymedian $1,230 · 10th to 90th $79 to $7,079Professionalmedian $151 · 10th to 90th $69 to $316
$100$200$500$1K$2K$5K$10Kfacility $1,230professional $151

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
$114.82
Median
$2,041.74
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$263.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$194.98
Typical High
$524.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$302.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$3,311.31
Sentara
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,089.30
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$138.04
Typical High
$295.12

Where Virginia 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

Virginia· 34th of 50

$1,382

$151 physician + $1,230 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.