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Heart Muscle Biopsy

Montana 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?

$1,072

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,122 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$1,000$741 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,122$1,096 to $1,202

How much rates vary

Facilitymedian $1,122 · 10th to 90th $1,000 to $1,698Professionalmedian $1,000 · 10th to 90th $646 to $1,259
$500$1K$2K$5Kfacility $1,122professional $1,000

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
Professional
Modifier
None (both parts)
Typical Low
$741.31
Median
$794.33
Typical High
$891.25
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
BCBS Montana
Setting
Professional
Modifier
None (both parts)
Typical Low
$346.74
Median
$346.74
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,230.27
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$724.44
Median
$758.58
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,202.26
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$645.65
Median
$977.24
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$323.59
Typical High
$354.81
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$426.58
Median
$645.65
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,348.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$338.84
Median
$380.19
Typical High
$446.68
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$707.95
Median
$812.83
Typical High
$912.01

Where Montana 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.

Montana· 25th of 51

$1,072

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.