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Needle Biopsy of Muscle

Tennessee 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?

$1,804

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

Insurers have agreed to pay about $1,804 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $1,622 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$182$69.18 to $282
Facility feeThe hospital or surgery center$1,622$575 to $2,399

How much rates vary

Facilitymedian $1,622 · 10th to 90th $209 to $3,890Professionalmedian $182 · 10th to 90th $54 to $389
$50$200$1K$5Kfacility $1,622professional $182

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
$204.17
Median
$1,202.26
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$173.78
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$61.66
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$218.78
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$407.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,187.76
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$173.78
Typical High
$407.38

Where Tennessee 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

Tennessee· 29th of 51

$1,804

$182 physician + $1,622 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.