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Needle Biopsy of Muscle

Idaho 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?

$905

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

Insurers have agreed to pay about $905 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $676 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$229$81.28 to $355
Facility feeThe hospital or surgery center$676$195 to $2,754

How much rates vary

Facilitymedian $676 · 10th to 90th $91 to $4,467Professionalmedian $229 · 10th to 90th $58 to $447
$100$200$500$1K$2K$5Kfacility $676professional $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
$141.25
Median
$2,630.27
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$218.78
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,659.59
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$316.23
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$181.97
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$186.21
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$346.74
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$5,248.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$269.15
Typical High
$512.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$1,122.02
Typical High
$2,570.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$194.98
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,467.37
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$194.98
Typical High
$436.52

Where Idaho 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

Idaho· 40th of 51

$905

$229 physician + $676 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.