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Needle Biopsy of Muscle

Iowa 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?

$2,463

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

Insurers have agreed to pay about $2,463 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $2,239 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$224$83.18 to $355
Facility feeThe hospital or surgery center$2,239$427 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $117 to $6,166Professionalmedian $224 · 10th to 90th $58 to $646
$50$200$1K$5Kfacility $2,239professional $224

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
$117.49
Median
$2,290.87
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$208.93
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$245.47
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$467.74
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$457.09
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$501.19
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$457.09
Typical High
$616.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$125.89
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,801.89
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$194.98
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$457.09

Where Iowa 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

Iowa· 17th of 51

$2,463

$224 physician + $2,239 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.