go back

Heart Muscle Biopsy

Rhode Island 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?

$1,023

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $2,291 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$646 to $1,230
FacilityA hospital or hospital-owned outpatient department$2,291$1,148 to $5,129

How much rates vary

Facilitymedian $2,291 · 10th to 90th $708 to $7,079Professionalmedian $891 · 10th to 90th $389 to $1,380
$100$200$500$1K$2K$5K$10Kfacility $2,291professional $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
$1,513.56
Median
$3,715.35
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,288.25
BCBS Rhode Island
Setting
Professional
Modifier
None (both parts)
Typical Low
$389.05
Median
$660.69
Typical High
$776.25
BCBS Rhode Island
Setting
Professional
Modifier
26 · Professional part
Typical Low
$186.21
Median
$229.09
Typical High
$389.05
BCBS Rhode Island
Setting
Professional
Modifier
TC · Technical part
Typical Low
$295.12
Median
$416.87
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$151.36
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$724.44
Median
$1,380.38
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$2,630.27
Typical High
$7,762.47
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$389.05
Median
$954.99
Typical High
$1,258.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$234.42
Median
$323.59
Typical High
$398.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$660.69
Typical High
$870.96

Where Rhode Island 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.

Rhode Island· 27th of 51

$1,023

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.