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Muscle Biopsy, Superficial

Montana 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 October 2026.

How much does Muscle Biopsy, Superficial cost?

$462

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $462 for this procedure. That total is two separate charges: $174 to the doctor who performs it, and $288 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$174$151 to $339
Facility feeThe hospital or surgery center$288$155 to $417

How much rates vary

Facilitymedian $288 · 10th to 90th $151 to $813Professionalmedian $174 · 10th to 90th $98 to $355
$100$200$500$1K$2Kfacility $288professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$190.55
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$1,202.26
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$162.18
Typical High
$338.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$446.68
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$165.96
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$1,202.26
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$151.36
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$234.42
Typical High
$389.05

Where Montana sits

The same service costs 11.0 times more in Colorado than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Montana· 49th of 51

$462

$174 physician + $288 facility

CO $4,480WV $407

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.