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Muscle Biopsy, Superficial

Maryland 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?

$347

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $263 to $537.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $813 · 10th to 90th $209 to $2,512Professionalmedian $295 · 10th to 90th $234 to $437
$100.0$200.0$500.0$1.0K$2.0Kfacility $813professional $295

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
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$812.83

Where Maryland 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.

Maryland $347 · 42nd 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.