# CPT 20245: Biopsy, bone, open, deep

Medicare CPT 20245 pays $303.28 in a non-facility setting and $303.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $275.86 in Nebraska to $389.96 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/20245-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $303.28 |
| National facility | $303.28 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $389.96 | $389.96 |
| Florida | $336.72 | $336.72 |
| New York | $333.57 | $333.57 |
| Illinois | $333.46 | $333.46 |
| District of Columbia | $330.76 | $330.76 |
| New Jersey | $325.41 | $325.41 |
| Connecticut | $320.16 | $320.16 |
| Michigan | $313.13 | $313.13 |
| Massachusetts | $312.36 | $312.36 |
| Washington | $312.23 | $312.23 |
| Maryland | $311.63 | $311.63 |
| West Virginia | $308.86 | $308.86 |
| California | $307.58 | $307.58 |
| Georgia | $307.12 | $307.12 |
| Pennsylvania | $305.97 | $305.97 |
| Rhode Island | $305.61 | $305.61 |
| New Mexico | $304.29 | $304.29 |
| Puerto Rico | $303.56 | $303.56 |
| Virgin Islands | $303.56 | $303.56 |
| Montana | $303.21 | $303.21 |
| Colorado | $302.60 | $302.60 |
| New Hampshire | $301.88 | $301.88 |
| Texas | $300.73 | $300.73 |
| Delaware | $299.84 | $299.84 |
| Oregon | $299.04 | $299.04 |
| Louisiana | $298.59 | $298.59 |
| Hawaii | $298.49 | $298.49 |
| Nevada | $297.50 | $297.50 |
| Ohio | $297.23 | $297.23 |
| Missouri | $296.74 | $296.74 |
| Arizona | $295.97 | $295.97 |
| Utah | $295.33 | $295.33 |
| Wyoming | $294.16 | $294.16 |
| South Carolina | $292.49 | $292.49 |
| Kentucky | $292.22 | $292.22 |
| Virginia | $291.73 | $291.73 |
| Oklahoma | $287.67 | $287.67 |
| Maine | $286.94 | $286.94 |
| North Carolina | $285.74 | $285.74 |
| Vermont | $285.23 | $285.23 |
| Mississippi | $284.01 | $284.01 |
| North Dakota | $282.45 | $282.45 |
| Minnesota | $280.70 | $280.70 |
| Tennessee | $280.42 | $280.42 |
| South Dakota | $279.99 | $279.99 |
| Indiana | $279.94 | $279.94 |
| Idaho | $278.97 | $278.97 |
| Alabama | $278.96 | $278.96 |
| Kansas | $278.89 | $278.89 |
| Arkansas | $276.00 | $276.00 |
| Wisconsin | $275.95 | $275.95 |
| Iowa | $275.94 | $275.94 |
| Nebraska | $275.86 | $275.86 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule
- 20551: Injection, single tendon origin/insertion — https://www.med-reveal.com/rates/20551-cpt-fee-schedule

Commercial negotiated rates for 20245 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules