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Needle Biopsy of Muscle

Vermont 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?

$245

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $74.13 to $309.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,622 to $1,738Professionalmedian $245 · 10th to 90th $68 to $331
$100$200$500$1Kfacility $1,622professional $245

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$446.68
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$251.19
Typical High
$575.44

Where Vermont sits

The same service costs 2.1 times more in California than in Maryland. 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.

Vermont· 19th of 51

$245

CA $398MD $186

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.