go back

Needle Biopsy of Muscle

Rhode Island 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?

$191

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $72.44 to $295.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,549 to $6,166Professionalmedian $191 · 10th to 90th $55 to $355
$100$200$500$1K$2K$5Kfacility $3,631professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,691.53
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$190.55
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$218.78
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$169.82
Typical High
$467.74

Where Rhode Island sits

The same service costs 2.1 times more in California than in Maryland. 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.

Rhode Island· 48th of 51

$191

CA $398MD $186

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.