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Needle Biopsy of Muscle

Arizona 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?

$2,608

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

Insurers have agreed to pay about $2,608 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $2,399 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$209$61.66 to $331
Facility feeThe hospital or surgery center$2,399$1,445 to $4,677

How much rates vary

Facilitymedian $2,399 · 10th to 90th $288 to $5,623Professionalmedian $209 · 10th to 90th $54 to $631
$50$100$200$500$1K$2K$5Kfacility $2,399professional $209

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
$1,348.96
Median
$3,090.30
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$208.93
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,862.09
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$251.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$162.18
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$208.93
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$173.78
Typical High
$346.74

Where Arizona 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

Arizona· 14th of 51

$2,608

$209 physician + $2,399 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.