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Muscle Biopsy, Superficial

North Carolina 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?

$309

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $166 to $1,549.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $309 · 10th to 90th $100 to $6,457Professionalmedian $282 · 10th to 90th $282 to $525
$50.0$200.0$1.0K$5.0K$20.0Kfacility $309professional $282

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
$147.91
Median
$1,000.00
Typical High
$7,244.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$524.81
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$204.17
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,467.37
Typical High
$7,079.46
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$28,840.32

Where North Carolina 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.

North Carolina $309 · 45th 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.