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Heart Muscle Biopsy

Virginia 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 $251 · 10th to 90th $209 to $380Professionalmedian $302 · 10th to 90th $214 to $355
$200$500facility $251professional $302

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. 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
26 · Professional part
Typical Low
$208.93
Median
$251.19
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$213.80
Median
$257.04
Typical High
$316.23
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$281.84
Median
$354.81
Typical High
$416.87