go back

Superficial Tissue Biopsy of the Shoulder

West 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?

$204

Typical physician fee. In West Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $166 to $240.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $204 · 10th to 90th $145 to $257
$100.0$200.0$500.0$1.0Kprofessional $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
$144.54
Median
$204.17
Typical High
$245.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$309.03

Where West 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.

West Virginia $204 · 48th 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.