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Needle Biopsy of Muscle

Alabama rates for HCPCS 20206

A provider inserts a needle through the skin and into a muscle to remove a small tissue sample for laboratory examination. This helps diagnose muscle diseases, inflammation, or other conditions affecting muscle tissue. It's a less invasive alternative to an open surgical muscle biopsy.

Rates data updated July 2026.

How much does Needle Biopsy of Muscle cost?

$1,230

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $1,230 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $1,072 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$158$57.54 to $251
Facility feeThe hospital or surgery center$1,072$759 to $1,585

How much rates vary

Facilitymedian $1,072 · 10th to 90th $186 to $2,399Professionalmedian $158 · 10th to 90th $51 to $331
$50$100$200$500$1K$2K$5Kfacility $1,072professional $158

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$831.76
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$158.49
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$165.96
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$151.36
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,778.28
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$169.82
Typical High
$354.81

Where Alabama sits

The same service costs 12.1 times more in Indiana than in Delaware. 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

Alabama· 37th of 51

$1,230

$158 physician + $1,072 facility

IN $5,056DE $416

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.