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Superficial Tissue Biopsy of the Shoulder

Iowa rates for HCPCS 23065

Takes a small sample of soft tissue from just beneath the skin of the shoulder area so it can be examined in a laboratory. Only tissue near the surface is sampled, above the tough layer that wraps the muscles.

Rates data updated July 2026.

How much does Superficial Tissue Biopsy of the Shoulder cost?

$251

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $209 to $427.

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.

How much rates vary

Professionalmedian $251 · 10th to 90th $158 to $1,000
$200.0$500.0$1.0K$2.0K$5.0Kprofessional $251

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$501.19

Where Iowa sits

The same service costs 2.8 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $251 · 16th of 51
AK $513KY $186

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.