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Heart Muscle Biopsy

North Carolina 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.

Facilitymedian $295 · 10th–90th $219$5620%20%40%10th90th$295$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$218.78
Median
$295.12
Typical High
$562.34
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38