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Needle Biopsy of Muscle

Kentucky 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?

$1,940

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

Insurers have agreed to pay about $1,940 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $1,778 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$162$54.95 to $224
Facility feeThe hospital or surgery center$1,778$851 to $2,570

How much rates vary

Facilitymedian $1,778 · 10th to 90th $102 to $3,388Professionalmedian $162 · 10th to 90th $48 to $331
$50$100$200$500$1K$2K$5Kfacility $1,778professional $162

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
$74.13
Median
$416.87
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$177.83
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$158.49
Typical High
$257.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$245.47
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,089.30
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$158.49
Typical High
$389.05

Where Kentucky 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

Kentucky· 24th of 51

$1,940

$162 physician + $1,778 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.