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Heart Muscle Biopsy

Idaho 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?

$1,122

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $2,951 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$891 to $1,148
FacilityA hospital or hospital-owned outpatient department$2,951$1,514 to $6,026

How much rates vary

Facilitymedian $2,951 · 10th to 90th $933 to $9,550Professionalmedian $1,047 · 10th to 90th $794 to $1,380
$50$200$1K$5Kfacility $2,951professional $1,047

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$891.25
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$251.19
Median
$295.12
Typical High
$302.00
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$524.81
Median
$588.84
Typical High
$707.95
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$5,011.87
Typical High
$10,471.29
BCBS Idaho
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,412.54
BCBS Idaho
Setting
Professional
Modifier
26 · Professional part
Typical Low
$331.13
Median
$398.11
Typical High
$478.63
BCBS Idaho
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$758.58
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$1,380.38
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$275.42
Median
$346.74
Typical High
$389.05
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$741.31
Typical High
$812.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,047.13
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,288.25
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$281.84
Median
$302.00
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$660.69
Typical High
$851.14
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,122.02
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$977.24
Median
$1,122.02
Typical High
$5,128.61
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$7,943.28
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$954.99
Median
$954.99
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$616.60
Typical High
$5,128.61
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$602.56
Median
$602.56
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,398.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,380.38
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$338.84
Typical High
$436.52
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$398.11
Median
$758.58
Typical High
$977.24
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$676.08
Median
$831.76
Typical High
$1,000.00

Where Idaho 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.

Idaho· 22nd of 51

$1,122

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.