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Needle Biopsy of Muscle

Michigan 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?

$2,098

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

Insurers have agreed to pay about $2,098 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $1,950 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$148$72.44 to $275
Facility feeThe hospital or surgery center$1,950$646 to $2,884

How much rates vary

Facilitymedian $1,950 · 10th to 90th $95 to $4,898Professionalmedian $148 · 10th to 90th $54 to $331
$100$200$500$1K$2K$5Kfacility $1,950professional $148

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
$95.50
Median
$1,949.84
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$169.82
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$162.18
Typical High
$331.13
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$645.65
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$239.88
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,884.03
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$181.97
Typical High
$338.84

Where Michigan 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

Michigan· 22nd of 51

$2,098

$148 physician + $1,950 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.