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Superficial Tissue Biopsy of the Shoulder

Virginia 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?

$224

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $182 to $275.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $224 · 10th to 90th $155 to $427
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kprofessional $224

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
$218.78
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Sentara
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$389.05

Where Virginia 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.

Virginia $224 · 32nd 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.