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Needle Biopsy of Muscle

Colorado 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?

$3,511

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

Insurers have agreed to pay about $3,511 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $3,311 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$200$64.57 to $275
Facility feeThe hospital or surgery center$3,311$617 to $5,888

How much rates vary

Facilitymedian $3,311 · 10th to 90th $107 to $7,943Professionalmedian $200 · 10th to 90th $56 to $457
$50$200$1K$5Kfacility $3,311professional $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
$218.78
Median
$3,019.95
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$199.53
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$186.21
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$1,023.29
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$181.97
Typical High
$416.87
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$190.55
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$218.78
Typical High
$346.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$467.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$213.80
Typical High
$436.52

Where Colorado 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

Colorado· 9th of 51

$3,511

$200 physician + $3,311 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.