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Needle Biopsy of Muscle

New Hampshire 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?

$1,777

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,777 for this procedure. That total is two separate charges: $155 to the doctor who performs it, and $1,622 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$155$81.28 to $302
Facility feeThe hospital or surgery center$1,622$955 to $2,239

How much rates vary

Facilitymedian $1,622 · 10th to 90th $234 to $8,913Professionalmedian $155 · 10th to 90th $59 to $437
$50$200$1K$5Kfacility $1,622professional $155

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
$234.42
Median
$1,584.89
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$190.55
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$125.89
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$169.82
Typical High
$602.56
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$218.78
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$208.93
Typical High
$549.54
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$281.84

Where New Hampshire 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

New Hampshire· 31st of 51

$1,777

$155 physician + $1,622 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.