go back

Needle Biopsy of Muscle

Ohio 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?

$2,550

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

Insurers have agreed to pay about $2,550 for this procedure. That total is two separate charges: $151 to the doctor who performs it, and $2,399 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$151$67.61 to $282
Facility feeThe hospital or surgery center$2,399$724 to $3,890

How much rates vary

Facilitymedian $2,399 · 10th to 90th $191 to $8,913Professionalmedian $151 · 10th to 90th $55 to $427
$50$200$1K$5Kfacility $2,399professional $151

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
$104.71
Median
$2,398.83
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$138.04
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,754.23
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$181.97
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$125.89
Typical High
$363.08
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$125.89
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$43.65
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$165.96
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$158.49
Typical High
$363.08

Where Ohio 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

Ohio· 16th of 51

$2,550

$151 physician + $2,399 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.