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Needle Biopsy of Muscle

West 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?

$1,783

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

Insurers have agreed to pay about $1,783 for this procedure. That total is two separate charges: $123 to the doctor who performs it, and $1,660 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$123$54.95 to $229
Facility feeThe hospital or surgery center$1,660$1,230 to $1,950

How much rates vary

Facilitymedian $1,660 · 10th to 90th $62 to $8,511Professionalmedian $123 · 10th to 90th $54 to $263
$50$100$200$500$1K$2K$5Kfacility $1,660professional $123

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
$61.66
Median
$1,659.59
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$123.03
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$72.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$204.17
Typical High
$1,000.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$9,332.54
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$141.25
Typical High
$389.05

Where West 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

West Virginia· 30th of 51

$1,783

$123 physician + $1,660 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.