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Heart Muscle Biopsy

Hawaii 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 Hawaii, October 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $813 to $955.

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 $2,884 · 10th to 90th $1,000 to $3,890Professionalmedian $871 · 10th to 90th $813 to $1,202
$1K$2K$5K$10Kfacility $2,884professional $871

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$645.65
Median
$812.83
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$812.83
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$851.14
Typical High
$1,380.38
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$812.83
Median
$812.83
Typical High
$851.14
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$263.03
Median
$263.03
Typical High
$302.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$549.54
Median
$549.54
Typical High
$588.84
University Health Alliance
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$870.96
Typical High
$2,089.30
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$263.03
Median
$269.15
Typical High
$295.12
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$602.56
Typical High
$660.69

Where Hawaii 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.

Hawaii· 37th 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.