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Muscle Biopsy, Superficial

Oregon 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?

$389

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $219 to $447.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $389 · 10th to 90th $135 to $5,129Professionalmedian $263 · 10th to 90th $178 to $589
$100$200$500$1K$2K$5Kfacility $389professional $263

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
$234.42
Median
$562.34
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$588.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$467.74
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$478.63
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,248.07
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,011.87
Typical High
$7,244.36

Where Oregon sits

The same service costs 32.4 times more in Indiana 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.

Oregon· 41st of 50

$389

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.