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Heart Muscle Biopsy

Iowa 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?

$1,549

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $3,467 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,380$794 to $1,738
FacilityA hospital or hospital-owned outpatient department$3,467$1,514 to $6,457

How much rates vary

Facilitymedian $3,467 · 10th to 90th $891 to $8,913Professionalmedian $1,380 · 10th to 90th $617 to $1,950
$500$1K$2K$5K$10Kfacility $3,467professional $1,380

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$3,801.89
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$562.34
Median
$741.31
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$446.68
Median
$537.03
Typical High
$602.56
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$724.44
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$204.17
Median
$338.84
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$120.23
Median
$446.68
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,819.70
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$616.60
Median
$1,513.56
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$512.86
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$489.78
Median
$1,047.13
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,659.59
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$4,365.16
Typical High
$9,772.37
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,949.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$389.05
Typical High
$616.60
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$478.63
Median
$724.44
Typical High
$1,348.96
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,513.56
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$346.74
Median
$436.52
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$676.08
Median
$851.14
Typical High
$1,000.00

Where Iowa 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.

Iowa· 10th of 51

$1,549

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.