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Needle Biopsy of Muscle

Florida 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?

$4,077

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

Insurers have agreed to pay about $4,077 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $3,890 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$61.66 to $251
Facility feeThe hospital or surgery center$3,890$2,188 to $6,457

How much rates vary

Facilitymedian $3,890 · 10th to 90th $708 to $9,120Professionalmedian $186 · 10th to 90th $52 to $398
$50$200$1K$5Kfacility $3,890professional $186

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
$645.65
Median
$3,715.35
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$190.55
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$77.62
Typical High
$223.87
AvMed
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,905.46
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$173.78
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$707.95
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$380.19
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$9,549.93
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,235.94
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$158.49
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$91.20
Typical High
$229.09

Where Florida 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

Florida· 5th of 51

$4,077

$186 physician + $3,890 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.