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Needle Biopsy of Muscle

Montana 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?

$545

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

Insurers have agreed to pay about $545 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $316 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$229$81.28 to $363
Facility feeThe hospital or surgery center$316$97.72 to $389

How much rates vary

Facilitymedian $316 · 10th to 90th $95 to $479Professionalmedian $229 · 10th to 90th $59 to $646
$100$1K$10K$100Kfacility $316professional $229

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
$812.83
Median
$812.83
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$239.88
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$389.05
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$371.54
Typical High
$416.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$371.54
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$165.96
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$426.58

Where Montana 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

Montana· 47th of 51

$545

$229 physician + $316 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.