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Needle Biopsy of Muscle

Georgia 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?

$3,366

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

Insurers have agreed to pay about $3,366 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $3,162 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$204$79.43 to $331
Facility feeThe hospital or surgery center$3,162$1,380 to $4,571

How much rates vary

Facilitymedian $3,162 · 10th to 90th $437 to $5,623Professionalmedian $204 · 10th to 90th $58 to $501
$50$200$1K$5Kfacility $3,162professional $204

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
$251.19
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$204.17
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$87.10
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,570.40
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$181.97
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$234.42
Typical High
$407.38
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$323.59
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$190.55
Typical High
$446.68

Where Georgia 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

Georgia· 10th of 51

$3,366

$204 physician + $3,162 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.