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Heart Muscle Biopsy

Nebraska 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?

$1,660

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $4,266 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,122 to $1,622
FacilityA hospital or hospital-owned outpatient department$4,266$1,905 to $7,586

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,288 to $10,965Professionalmedian $1,318 · 10th to 90th $851 to $1,995
$1K$2K$5K$10Kfacility $4,266professional $1,318

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
$1,548.82
Median
$6,165.95
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$562.34
Median
$562.34
Typical High
$1,445.44
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$9,120.11
Typical High
$19,054.61
BCBS Nebraska
Setting
Professional
Modifier
26 · Professional part
Typical Low
$169.82
Median
$302.00
Typical High
$398.11
BCBS Nebraska
Setting
Professional
Modifier
TC · Technical part
Typical Low
$323.59
Median
$549.54
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$416.87
Median
$446.68
Typical High
$549.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$891.25
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$2,089.30
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$1,318.26
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$269.15
Median
$457.09
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$977.24
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,238.72
Typical High
$6,309.57
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$851.14
Median
$1,412.54
Typical High
$2,041.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$269.15
Median
$457.09
Typical High
$645.65
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$588.84
Median
$933.25
Typical High
$1,412.54

Where Nebraska 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.

Nebraska· 6th of 51

$1,660

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.