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Muscle Biopsy, Superficial

California rates for HCPCS 20200

Takes a small sample of muscle through a short incision so it can be examined in the laboratory. The sample is taken from a muscle lying close to the surface. It is used to look for the cause of muscle weakness, pain or wasting, such as inflammation, an inherited muscle disease, or a problem with how muscle produces energy.

Rates data updated July 2026.

How much does Muscle Biopsy, Superficial cost?

$5,248

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $3,467 to $7,943.

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.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,202 to $13,804Professionalmedian $209 · 10th to 90th $83 to $479
$100.0$1.0K$10.0Kfacility $5,623professional $209

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
$2,187.76
Median
$6,309.57
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,168.69
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,187.76
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$234.42
Typical High
$489.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,265.80
Typical High
$9,549.93

Where California sits

The same service costs 32.4 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $5,248 · 3rd of 50
IN $6,761WV $209

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.