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Superficial Tissue Biopsy of the Shoulder

South Dakota 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?

$331

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $219 to $437.

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 $331 · 10th to 90th $158 to $525
$200.0$500.0$1.0Kprofessional $331

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
$223.87
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$660.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$457.09
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$478.63
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$588.84

Where South Dakota 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.

South Dakota $331 · 6th 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.