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Needle Biopsy of Muscle

New Mexico 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?

$571

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

Insurers have agreed to pay about $571 for this procedure. That total is two separate charges: $191 to the doctor who performs it, and $380 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$191$61.66 to $275
Facility feeThe hospital or surgery center$380$117 to $2,138

How much rates vary

Facilitymedian $380 · 10th to 90th $74 to $3,802Professionalmedian $191 · 10th to 90th $51 to $646
$50$100$200$500$1K$2K$5Kfacility $380professional $191

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
$74.13
Median
$323.59
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$190.55
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,818.38
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$208.93
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$169.82
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$162.18
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$151.36
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,630.78
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$199.53
Typical High
$426.58

Where New Mexico 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 Mexico· 46th of 51

$571

$191 physician + $380 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.