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Needle Biopsy of Muscle

Hawaii 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?

$251

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $66.07 to $2,399.

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 $2,884 · 10th to 90th $871 to $2,884Professionalmedian $229 · 10th to 90th $55 to $3,631
$50$100$200$500$1K$2K$5Kfacility $2,884professional $229

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$288.40
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$257.04
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$251.19
Typical High
$346.74
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$2,041.74
Typical High
$3,981.07

Where Hawaii 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.

Hawaii· 16th of 51

$251

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.