Price Checker / CPT 20200

How much does Muscle Biopsy Superficial cost?

CPT 20200 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $360–$730.

Fair price

$360–$730

What this should cost

With insurance

~$2,500

Typical out-of-pocket

Overcharged if over

$910

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About Muscle Biopsy Superficial

CPT code 20200 refers to muscle biopsy superficial (billing description: "Muscle biopsy superficial"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $90 in a facility (hospital or surgery center) and $242 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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