go back

Muscle Biopsy, Superficial

Pennsylvania 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?

$3,090

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $1,288 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $234 to $7,762
$100$200$500$1K$2K$5K$10Kfacility $3,090

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
$204.17
Median
$3,548.13
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,818.38
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$1,698.24
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,818.38
Typical High
$5,623.41

Where Pennsylvania 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.

Pennsylvania· 14th of 50

$3,090

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.