go back

Needle Biopsy of Muscle

Oregon 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?

$660

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

Insurers have agreed to pay about $660 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $437 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$102 to $427
Facility feeThe hospital or surgery center$437$229 to $3,090

How much rates vary

Facilitymedian $437 · 10th to 90th $105 to $6,310Professionalmedian $224 · 10th to 90th $60 to $575
$100$500$2K$10Kfacility $437professional $224

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
$141.25
Median
$3,235.94
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$213.80
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$186.21
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$537.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$173.78
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$354.81
Typical High
$489.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$181.97
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$549.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,248.07
Typical High
$6,456.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,011.87
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$562.34

Where Oregon 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

Oregon· 43rd of 51

$660

$224 physician + $437 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.