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Heart Muscle Biopsy

New York 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.

How much rates vary

Facilitymedian $282 · 10th to 90th $209 to $437
$100$200$500$1Kfacility $282

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$213.80
Median
$281.84
Typical High
$416.87
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$54.95
Median
$257.04
Typical High
$363.08
Univera
Setting
Facility
Modifier
26 · Professional part
Typical Low
$177.83
Median
$407.38
Typical High
$1,202.26