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Needle Biopsy of Muscle

Indiana 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?

$5,056

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

Insurers have agreed to pay about $5,056 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $4,898 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$158$58.88 to $240
Facility feeThe hospital or surgery center$4,898$977 to $8,318

How much rates vary

Facilitymedian $4,898 · 10th to 90th $234 to $9,772Professionalmedian $158 · 10th to 90th $54 to $347
$50$200$1K$5Kfacility $4,898professional $158

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
$67.61
Median
$1,148.15
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$177.83
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$158.49
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$151.36
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$173.78
Typical High
$380.19

Where Indiana 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

Indiana· 1st of 51

$5,056

$158 physician + $4,898 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.