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Deep Muscle Biopsy

North Carolina 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 $1,380 · 10th–90th $204$7,9430%5%10%10th90th$1,380Professionalmedian $398 · 10th–90th $398$7240%20%40%90th$398$100.0$500.0$2.0K$10.0K$50.0K

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
$239.88
Median
$4,365.16
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,187.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,548.13
Typical High
$6,760.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$45,708.82