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Needle Biopsy of Muscle

Delaware 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?

$416

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

Insurers have agreed to pay about $416 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $234 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$182$56.23 to $234
Facility feeThe hospital or surgery center$234$56.23 to $2,630

How much rates vary

Facilitymedian $234 · 10th to 90th $52 to $5,012Professionalmedian $182 · 10th to 90th $54 to $282
$50$100$200$500$1K$2K$5Kfacility $234professional $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
$52.48
Median
$234.42
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$199.53
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$125.89
Typical High
$416.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$134.90
Typical High
$354.81

Where Delaware 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

Delaware· 51st of 51

$416

$182 physician + $234 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.