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Muscle Biopsy, Superficial

Illinois 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?

$1,148

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $331 to $2,630.

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.

How much rates vary

Facilitymedian $1,622 · 10th to 90th $182 to $5,623Professionalmedian $309 · 10th to 90th $129 to $692
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,622professional $309

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
$181.97
Median
$1,584.89
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,344.23
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$309.03
Typical High
$691.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,137.96
Typical High
$4,466.84

Where Illinois 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.

Illinois $1,148 · 35th 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.