go back

Deep Muscle Biopsy

California rates for HCPCS 20205

Through an incision, a sample of muscle is taken from beneath the covering layer, deeper than a surface sample, and sent to a laboratory. The tissue is examined for muscle disease, inflammation, infection or damage to the nerves supplying the muscle. It is usually done with numbing medicine, sometimes with sedation.

Facilitymedian $7,413 · 10th–90th $1,622$15,8490%5%10%10th90th$7,413Professionalmedian $339 · 10th–90th $145$6610%5%10%10th90th$339$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,585.78
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$5,128.61
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$338.84
Typical High
$660.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,365.16
Typical High
$9,549.93