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Superficial Tissue Biopsy of the Shoulder

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $191 to $355.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $251 · 10th to 90th $155 to $457
$50.0$200.0$1.0K$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
$147.91
Median
$223.87
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$407.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$575.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$407.38

Where Illinois 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.

Illinois $251 · 17th 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.