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Needle Biopsy of Muscle

Kansas 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?

$2,963

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

Insurers have agreed to pay about $2,963 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $2,754 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$209$79.43 to $263
Facility feeThe hospital or surgery center$2,754$776 to $3,890

How much rates vary

Facilitymedian $2,754 · 10th to 90th $191 to $6,457Professionalmedian $209 · 10th to 90th $58 to $355
$50$200$1K$5Kfacility $2,754professional $209

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
$331.13
Median
$2,884.03
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$186.21
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$138.04
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$281.84
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$1,258.93
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$208.93
Typical High
$363.08

Where Kansas 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

Kansas· 13th of 51

$2,963

$209 physician + $2,754 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.