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Needle Biopsy of Muscle

Maryland 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?

$451

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

Insurers have agreed to pay about $451 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $269 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$182$60.26 to $263
Facility feeThe hospital or surgery center$269$85.11 to $1,622

How much rates vary

Facilitymedian $269 · 10th to 90th $55 to $3,162Professionalmedian $182 · 10th to 90th $55 to $631
$50$100$200$500$1K$2K$5Kfacility $269professional $182

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
$54.95
Median
$269.15
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$199.53
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$158.49
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$234.42
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$158.49
Typical High
$436.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$354.81

Where Maryland 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

Maryland· 50th of 51

$451

$182 physician + $269 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.