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Heart Muscle Biopsy

South Dakota 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?

$1,318

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,995 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$1,023 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,995$1,072 to $2,089

How much rates vary

Facilitymedian $1,995 · 10th to 90th $851 to $2,399Professionalmedian $1,318 · 10th to 90th $661 to $1,660
$500$1K$2K$5Kfacility $1,995professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$645.65
Median
$645.65
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$346.74
Median
$446.68
Typical High
$549.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$776.25
Median
$891.25
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,737.80
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$660.69
Median
$1,380.38
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$229.09
Median
$426.58
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$416.87
Median
$977.24
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$302.00
Median
$380.19
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$512.86
Median
$724.44
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$660.69
Median
$1,258.93
Typical High
$1,479.11
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$229.09
Median
$389.05
Typical High
$457.09
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$416.87
Median
$891.25
Typical High
$1,047.13
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$1,584.89

Where South Dakota 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.

South Dakota· 13th of 51

$1,318

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.