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Deep Biopsy Of Shoulder Soft Tissue

South Dakota rates for HCPCS 23066

Takes a sample of muscle or other soft tissue from deep within the shoulder area so it can be examined under a microscope. Because the sample comes from beneath the surface layers, an incision is made and the deeper tissue is reached directly. It is used to find out what a lump or abnormal area of tissue is.

Rates data updated July 2026.

How much does Deep Biopsy Of Shoulder Soft Tissue cost?

$813

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $631 to $1,000.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $479 to $3,090Professionalmedian $813 · 10th to 90th $562 to $1,122
$500$1K$2K$5Kfacility $832professional $813

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
Facility
Modifier
Global
Typical Low
$363.08
Median
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$794.33
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,888.44

Where South Dakota sits

The same service costs 17.4 times more in Indiana than in West Virginia. 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.

South Dakota· 45th of 50

$813

IN $9,333WV $537

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.