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Muscle Biopsy, Superficial

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $129 to $3,802.

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 $389 · 10th to 90th $100 to $6,918Professionalmedian $282 · 10th to 90th $224 to $479
$100$200$500$1K$2K$5K$10Kfacility $389professional $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
$162.18
Median
$3,467.37
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$354.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40

Where Virginia 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.

Virginia· 40th 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.