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Superficial Tissue Biopsy of the Shoulder

Kentucky 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?

$186

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $148 to $219.

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 $186 · 10th to 90th $132 to $302
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kprofessional $186

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
$134.90
Median
$186.21
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$213.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$371.54

Where Kentucky 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.

Kentucky $186 · 51st 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.