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Needle Biopsy of Muscle

Massachusetts 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?

$1,474

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

Insurers have agreed to pay about $1,474 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $1,288 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$79.43 to $316
Facility feeThe hospital or surgery center$1,288$93.33 to $2,399

How much rates vary

Facilitymedian $1,288 · 10th to 90th $66 to $3,715Professionalmedian $186 · 10th to 90th $59 to $550
$50$200$1K$5Kfacility $1,288professional $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
$234.42
Median
$1,819.70
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$181.97
Typical High
$562.34
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$3,162.28
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$199.53
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$223.87
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$165.96
Typical High
$512.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$416.87
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$213.80
Typical High
$537.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,148.15
Typical High
$4,265.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$3,162.28
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$199.53
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$199.53
Typical High
$575.44

Where Massachusetts 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

Massachusetts· 35th of 51

$1,474

$186 physician + $1,288 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.