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Heart Muscle Biopsy

Utah 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?

$1,000

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $4,571 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$891$525 to $1,023
FacilityA hospital or hospital-owned outpatient department$4,571$3,020 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $912 to $12,882Professionalmedian $891 · 10th to 90th $288 to $1,318
$200$500$1K$2K$5K$10Kfacility $4,571professional $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
$912.01
Median
$3,981.07
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$794.33
Median
$912.01
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$295.12
Typical High
$457.09
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$457.09
Median
$616.60
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$933.25
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$309.03
Median
$323.59
Typical High
$501.19
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$602.56
Median
$616.60
Typical High
$776.25
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$218.78
Median
$660.69
Typical High
$1,584.89
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$6,456.54
Typical High
$9,332.54
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$1,778.28
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$478.63
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$4,168.69
Typical High
$8,317.64
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$691.83
Median
$912.01
Typical High
$1,258.93

Where Utah 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.

Utah· 29th of 51

$1,000

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.