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Needle Biopsy of Muscle

Nebraska 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?

$2,397

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

Insurers have agreed to pay about $2,397 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $2,188 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$209$110 to $525
Facility feeThe hospital or surgery center$2,188$468 to $3,802

How much rates vary

Facilitymedian $2,188 · 10th to 90th $117 to $8,511Professionalmedian $209 · 10th to 90th $62 to $1,047
$100$500$2K$10Kfacility $2,188professional $209

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
$117.49
Median
$3,235.94
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$208.93
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$97.72
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$177.83
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$363.08
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$275.42
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$407.38
Typical High
$691.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$2,511.89
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$269.15
Typical High
$588.84

Where Nebraska 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

Nebraska· 18th of 51

$2,397

$209 physician + $2,188 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.