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Heart Muscle Biopsy

Illinois 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 $355 · 10th to 90th $275 to $355Professionalmedian $347 · 10th to 90th $245 to $1,349
$200$500$1K$2Kfacility $355professional $347

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. 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
$275.42
Median
$354.81
Typical High
$354.81
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$245.47
Median
$346.74
Typical High
$1,348.96
Hally Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00