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Surface Tissue Biopsy of the Upper Arm or Elbow

Pennsylvania rates for HCPCS 24065

Takes a sample of soft tissue lying just under the skin of the upper arm or elbow area, above the firm layer that wraps the muscle, so it can be examined under a microscope. It is used to find out what a lump or thickened area is. It is usually done with local anesthetic through a small incision.

Rates data updated July 2026.

How much does Surface Tissue Biopsy of the Upper Arm or Elbow cost?

$234

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $170 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $234 · 10th to 90th $151 to $380
$10.0$100.0$1.0Kprofessional $234

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
$151.36
Median
$234.42
Typical High
$354.81
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$263.03
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$457.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$537.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$457.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$794.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$295.12
Typical High
$309.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$436.52

Where Pennsylvania sits

The same service costs 2.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $234 · 39th of 51
AK $550KY $204

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.