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Needle Biopsy of Muscle

Arkansas 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?

$1,374

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

Insurers have agreed to pay about $1,374 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $1,175 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$200$72.44 to $275
Facility feeThe hospital or surgery center$1,175$575 to $1,738

How much rates vary

Facilitymedian $1,175 · 10th to 90th $209 to $2,089Professionalmedian $200 · 10th to 90th $54 to $339
$100$200$500$1K$2Kfacility $1,175professional $200

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
$81.28
Median
$794.33
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$199.53
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$380.19
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,659.59
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$181.97
Typical High
$380.19

Where Arkansas 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

Arkansas· 36th of 51

$1,374

$200 physician + $1,175 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.