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Superficial Tissue Biopsy of the Shoulder

Ohio 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?

$204

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $155 to $251.

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 $204 · 10th to 90th $145 to $372
$10.0$100.0$1.0K$10.0Kprofessional $204

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
$154.88
Median
$213.80
Typical High
$1,862.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$398.11
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$354.81

Where Ohio 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.

Ohio $204 · 46th 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.