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Heart Muscle Biopsy

Oregon 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?

$933

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $832 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,380$1,047 to $1,738
FacilityA hospital or hospital-owned outpatient department$832$447 to $1,288

How much rates vary

Facilitymedian $832 · 10th to 90th $363 to $2,692Professionalmedian $1,380 · 10th to 90th $933 to $1,950
$1K$10K$100Kfacility $832professional $1,380

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
$3,235.94
Median
$5,128.61
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$933.25
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$281.84
Median
$281.84
Typical High
$346.74
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$660.69
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$27,542.29
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$933.25
Median
$1,479.11
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$309.03
Median
$478.63
Typical High
$602.56
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$1,000.00
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$416.87
Median
$512.86
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$3,630.78
Typical High
$7,943.28
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,862.09
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$251.19
Median
$331.13
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$707.95
Typical High
$1,258.93
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$794.33
Typical High
$1,348.96
Pacific Source
Setting
Professional
Modifier
None (both parts)
Typical Low
$426.58
Median
$426.58
Typical High
$912.01
Providence
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$251,188.64
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$933.25
Median
$1,445.44
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$309.03
Median
$467.74
Typical High
$645.65
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$977.24
Typical High
$1,288.25
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$10,964.78
Typical High
$12,882.50
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$426.58
Median
$446.68
Typical High
$707.95
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$794.33
Median
$933.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,630.27
Typical High
$25,118.86
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$2,137.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$338.84
Median
$537.03
Typical High
$758.58
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,380.38

Where Oregon 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.

Oregon· 34th of 51

$933

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.