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Heart Muscle Biopsy

Wisconsin 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 $550 · 10th to 90th $407 to $1,023Professionalmedian $1,122 · 10th to 90th $1,122 to $1,122
$500$1Kfacility $550professional $1,122

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
$407.38
Median
$467.74
Typical High
$794.33
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$549.54
Median
$645.65
Typical High
$1,023.29
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$489.78
Median
$1,380.38
Typical High
$1,380.38
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02