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Needle Biopsy of Muscle

Virginia 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?

$636

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

Insurers have agreed to pay about $636 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $427 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$209$74.13 to $324
Facility feeThe hospital or surgery center$427$97.72 to $2,512

How much rates vary

Facilitymedian $427 · 10th to 90th $66 to $5,248Professionalmedian $209 · 10th to 90th $58 to $468
$50$200$1K$5Kfacility $427professional $209

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
$93.33
Median
$812.83
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$223.87
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$165.96
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$158.49
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$426.58
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$162.18
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$3,388.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$144.54
Typical High
$436.52

Where Virginia 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

Virginia· 45th of 51

$636

$209 physician + $427 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.