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Needle Biopsy of Muscle

Maine 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?

$2,577

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

Insurers have agreed to pay about $2,577 for this procedure. That total is two separate charges: $178 to the doctor who performs it, and $2,399 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$178$67.61 to $288
Facility feeThe hospital or surgery center$2,399$1,549 to $3,090

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,175 to $8,710Professionalmedian $178 · 10th to 90th $58 to $339
$50$100$200$500$1K$2K$5Kfacility $2,399professional $178

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
$1,174.90
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$138.04
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$177.83
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$489.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$208.93
Typical High
$416.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$138.04
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$190.55
Typical High
$416.87

Where Maine 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

Maine· 15th of 51

$2,577

$178 physician + $2,399 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.