go back

Deep Muscle Biopsy

Colorado 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 $5,623 · 10th–90th $263$12,5890%5%10%10th90th$5,623Professionalmedian $347 · 10th–90th $148$9330%10%20%10th90th$347$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$4,073.80
Typical High
$11,220.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,737.80
Typical High
$5,370.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$346.74
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,801.89
Typical High
$6,606.93