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Needle Biopsy of Muscle

South Carolina 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?

$1,900

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $1,900 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $1,738 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$162$66.07 to $251
Facility feeThe hospital or surgery center$1,738$263 to $2,754

How much rates vary

Facilitymedian $1,738 · 10th to 90th $74 to $7,762Professionalmedian $162 · 10th to 90th $54 to $398
$50$200$1K$5K$20Kfacility $1,738professional $162

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
$1,995.26
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$186.21
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,737.80
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$120.23
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$194.98
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$6,309.57
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$173.78
Typical High
$371.54

Where South Carolina 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

South Carolina· 26th of 51

$1,900

$162 physician + $1,738 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.