go back

Superficial Tissue Biopsy of the Shoulder

Utah 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?

$269

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $209 to $468.

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 $269 · 10th to 90th $155 to $871
$50$100$200$500$1Kprofessional $269

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
$302.00
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$489.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$457.09
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$323.59

Where Utah sits

The same service costs 2.8 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 13th of 51

$269

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.