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Heart Muscle Biopsy

Maine 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?

$955

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $2,239 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$794 to $1,175
FacilityA hospital or hospital-owned outpatient department$2,239$2,188 to $2,291

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,514 to $3,890Professionalmedian $955 · 10th to 90th $646 to $1,288
$200$500$1K$2Kfacility $2,239professional $955

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
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$794.33
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$251.19
Median
$251.19
Typical High
$436.52
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$549.54
Median
$549.54
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$588.84
Median
$870.96
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$208.93
Median
$309.03
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$380.19
Median
$549.54
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$831.76
Median
$977.24
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$302.00
Median
$316.23
Typical High
$489.78
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$524.81
Median
$660.69
Typical High
$912.01
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$3,890.45
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,258.93
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$269.15
Median
$331.13
Typical High
$426.58
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$537.03
Median
$707.95
Typical High
$851.14
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$794.33
Typical High
$1,288.25
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$251.19
Median
$251.19
Typical High
$436.52
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$549.54
Median
$549.54
Typical High
$870.96
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$3,890.45
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,288.25
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$288.40
Median
$338.84
Typical High
$436.52
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$537.03
Median
$724.44
Typical High
$851.14

Where Maine 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.

Maine· 33rd of 51

$955

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.