go back

Needle Biopsy of Muscle

South Dakota 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?

$510

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

Insurers have agreed to pay about $510 for this procedure. That total is two separate charges: $234 to the doctor who performs it, and $275 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$234$110 to $457
Facility feeThe hospital or surgery center$275$95.50 to $537

How much rates vary

Facilitymedian $275 · 10th to 90th $69 to $2,291Professionalmedian $234 · 10th to 90th $58 to $617
$50$100$200$500$1K$2Kfacility $275professional $234

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
$58.88
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$190.55
Typical High
$616.60
Avera
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$114.82
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$363.08
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$269.15
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$512.86
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$537.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$537.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$288.40
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$186.21
Typical High
$588.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$537.03

Where South Dakota 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 Dakota· 48th of 51

$510

$234 physician + $275 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.