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Needle Biopsy of Muscle

North Dakota 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?

$469

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $469 for this procedure. That total is two separate charges: $234 to the doctor who performs it, and $234 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$234$110 to $407
Facility feeThe hospital or surgery center$234$58.88 to $240

How much rates vary

Facilitymedian $234 · 10th to 90th $58 to $2,344Professionalmedian $234 · 10th to 90th $59 to $537
$100$200$500$1K$2K$5Kfacility $234professional $234

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
$57.54
Median
$234.42
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$234.42
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$199.53
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$239.88
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$158.49
Typical High
$512.86

Where North Dakota 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

North Dakota· 49th of 51

$469

$234 physician + $234 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.