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Muscle Biopsy, Superficial

Ohio 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?

$2,951

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $2,951 for this service. Most negotiated rates run $776 to $5,012.

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 $2,951 · 10th to 90th $204 to $10,233
$100.0$500.0$2.0K$10.0Kfacility $2,951

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
$177.83
Median
$3,019.95
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,818.38
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$5,128.61

Where Ohio 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.

Ohio $2,951 · 15th 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.