go back

Needle Biopsy of Muscle

Illinois 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?

$1,884

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

Insurers have agreed to pay about $1,884 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $1,698 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$186$72.44 to $288
Facility feeThe hospital or surgery center$1,698$933 to $3,467

How much rates vary

Facilitymedian $1,698 · 10th to 90th $200 to $6,026Professionalmedian $186 · 10th to 90th $56 to $398
$50$200$1K$5Kfacility $1,698professional $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
$194.98
Median
$1,698.24
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$177.83
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,137.96
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$204.17
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$147.91
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$302.00
Typical High
$562.34
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,137.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$181.97
Typical High
$407.38

Where Illinois 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

Illinois· 27th of 51

$1,884

$186 physician + $1,698 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.