go back

Needle Biopsy of Muscle

Washington, DC 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?

$245

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $89.13 to $1,072.

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.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $141 to $4,074Professionalmedian $135 · 10th to 90th $56 to $355
$100$200$500$1K$2K$5K$10Kfacility $2,138professional $135

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
$141.25
Median
$2,137.96
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$134.90
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$1,071.52
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$154.88
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$186.21
Typical High
$537.03

Where Washington, DC sits

The same service costs 2.1 times more in California than in Maryland. 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.

Washington, DC· 18th of 51

$245

CA $398MD $186

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.