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Needle Biopsy of Muscle

Missouri 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?

$1,997

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

Insurers have agreed to pay about $1,997 for this procedure. That total is two separate charges: $219 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$219$70.79 to $316
Facility feeThe hospital or surgery center$1,778$955 to $3,548

How much rates vary

Facilitymedian $1,778 · 10th to 90th $200 to $5,623Professionalmedian $219 · 10th to 90th $58 to $646
$50$200$1K$5Kfacility $1,778professional $219

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
$186.21
Median
$2,238.72
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$223.87
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$134.90
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$204.17
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$190.55
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$245.47
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$199.53
Typical High
$371.54

Where Missouri 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

Missouri· 23rd of 51

$1,997

$219 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.