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Superficial Tissue Biopsy of the Shoulder

North Carolina 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?

$257

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $209 to $380.

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 $257 · 10th to 90th $158 to $525
$100.0$200.0$500.0$1.0K$2.0K$5.0Kprofessional $257

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
$223.87
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$213.80
Typical High
$389.05
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,905.46

Where North Carolina 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.

North Carolina $257 · 15th 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.