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Heart Muscle Biopsy

New Mexico 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?

$1,122

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $5,754 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$891$676 to $1,148
FacilityA hospital or hospital-owned outpatient department$5,754$1,820 to $8,913

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,047 to $125,893Professionalmedian $891 · 10th to 90th $309 to $1,413
$100$1K$10K$100Kfacility $5,754professional $891

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
$537.03
Median
$2,089.30
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$537.03
Median
$912.01
Typical High
$1,202.26
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$6,456.54
Typical High
$10,000.00
BCBS New Mexico
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$309.03
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$707.95
Median
$891.25
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$323.59
Typical High
$891.25
Providence
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$125,892.54
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$933.25
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$10,471.29
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,412.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$331.13
Typical High
$457.09
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$478.63
Median
$676.08
Typical High
$977.24

Where New Mexico 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.

New Mexico· 23rd of 51

$1,122

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.