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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 July 2026.

How much rates vary

Facilitymedian $295 · 10th to 90th $295 to $2,042Professionalmedian $479 · 10th to 90th $229 to $832
$200$500$1K$2Kfacility $295professional $479

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
Facility
Modifier
26 · Professional part
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$218.78
Median
$338.84
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$478.63
Median
$524.81
Typical High
$831.76