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Needle Biopsy of Muscle

Utah 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?

$3,239

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

Insurers have agreed to pay about $3,239 for this procedure. That total is two separate charges: $219 to the doctor who performs it, and $3,020 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$219$69.18 to $457
Facility feeThe hospital or surgery center$3,020$2,239 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $339 to $4,677Professionalmedian $219 · 10th to 90th $54 to $708
$50$100$200$500$1K$2K$5Kfacility $3,020professional $219

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
$338.84
Median
$3,019.95
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$218.78
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$151.36
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$426.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$177.83
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$407.38
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$288.40
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$151.36
Typical High
$346.74

Where Utah 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

Utah· 11th of 51

$3,239

$219 physician + $3,020 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.