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Muscle Biopsy, Superficial

Vermont 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 October 2026.

How much does Muscle Biopsy, Superficial cost?

$1,483

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $1,483 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$145 to $363
Facility feeThe hospital or surgery center$1,259$1,259 to $1,549

How much rates vary

Facilitymedian $1,259 · 10th to 90th $407 to $1,660Professionalmedian $224 · 10th to 90th $112 to $380
$100$200$500$1Kfacility $1,259professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$208.93
Typical High
$263.03
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$186.21
Typical High
$380.19
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$288.40
Typical High
$354.81
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$239.88
Typical High
$446.68

Where Vermont sits

The same service costs 11.0 times more in Colorado 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.

Physician feeFacility fee

Vermont· 26th of 51

$1,483

$224 physician + $1,259 facility

CO $4,480WV $407

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.