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Heart Muscle Biopsy

Washington, DC rates for HCPCS 93505

A small sample of heart muscle is taken from inside the heart so it can be examined under a microscope. A thin catheter with tiny jaws on its tip is guided through a vein into a heart chamber and several pinhead-sized pieces of the inner wall are collected. It is used mainly to check for rejection after a heart transplant, or to find the cause of otherwise unexplained heart muscle disease.

Rates data updated October 2026.

How much does Heart Muscle Biopsy cost?

$871

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $661 to $1,820.

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 $3,311 · 10th to 90th $1,549 to $26,915Professionalmedian $741 · 10th to 90th $631 to $1,820
$500$1K$2K$5K$10K$20Kfacility $3,311professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,754.23
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$645.65
Median
$645.65
Typical High
$1,819.70
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$354.81
Median
$741.31
Typical High
$851.14
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$218.78
Median
$245.47
Typical High
$446.68
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$446.68
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$691.83
Median
$912.01
Typical High
$2,290.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,943.28
Typical High
$27,542.29
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,584.89

Where Washington, DC sits

The same service costs 4.4 times more in Wisconsin than in Texas. 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.

Washington, DC· 36th of 51

$871

WI $2,630TX $603

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.