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Needle Biopsy of Muscle

Connecticut 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?

$4,547

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

Insurers have agreed to pay about $4,547 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $4,365 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$182$81.28 to $302
Facility feeThe hospital or surgery center$4,365$3,388 to $5,129

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,995 to $7,943Professionalmedian $182 · 10th to 90th $58 to $562
$20$100$500$2K$10Kfacility $4,365professional $182

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
$1,905.46
Median
$4,365.16
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$169.82
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$223.87
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$524.81
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$467.74
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$208.93
Typical High
$549.54

Where Connecticut 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

Connecticut· 3rd of 51

$4,547

$182 physician + $4,365 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.