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Muscle Biopsy, Superficial

Washington, DC 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?

$4,074

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $513 to $4,571.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $98 to $7,762Professionalmedian $275 · 10th to 90th $219 to $513
$100.0$500.0$2.0K$10.0Kfacility $4,074professional $275

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
$97.72
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68

Where Washington, DC 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.

Washington, DC $4,074 · 7th 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.