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Deep Muscle Biopsy

Virginia 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.

Rates data updated July 2026.

How much does Deep Muscle Biopsy cost?

$550

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $234 to $4,898.

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 $617 · 10th to 90th $166 to $7,413Professionalmedian $398 · 10th to 90th $316 to $676
$200$500$1K$2K$5K$10Kfacility $617professional $398

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
$263.03
Median
$4,073.80
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$724.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,888.44

Where Virginia sits

The same service costs 29.5 times more in Indiana than in North Dakota. 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· 43rd of 51

$550

IN $8,710ND $295

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.