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Bone Marrow Biopsy and Aspiration

Hawaii rates for HCPCS 38222

A needle is inserted into a bone, usually in the hip, to both withdraw a small liquid sample of bone marrow (aspiration) and remove a small core of solid marrow tissue (biopsy), typically done together in one procedure. The samples are examined in a lab to evaluate blood cell production and diagnose conditions affecting the bone marrow.

Rates data updated October 2026.

How much does Bone Marrow Biopsy and Aspiration cost?

$1,952

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,952 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $1,738 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$214$102 to $229
Facility feeThe hospital or surgery center$1,738$1,202 to $2,884

How much rates vary

Facilitymedian $1,738 · 10th to 90th $955 to $2,884Professionalmedian $214 · 10th to 90th $69 to $251
$100$200$500$1K$2Kfacility $1,738professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$95.50
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$229.09
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$190.55
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$229.09
Typical High
$239.88
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$169.82
Typical High
$2,398.83

Where Hawaii sits

The same service costs 9.7 times more in Colorado than in Montana. 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

Hawaii· 18th of 51

$1,952

$214 physician + $1,738 facility

CO $4,351MT $447

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.