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Surface Tissue Biopsy of the Upper Arm or Elbow

South Dakota 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?

$339

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $224 to $490.

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 $339 · 10th to 90th $166 to $603
$200$500$1Kprofessional $339

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
$138.04
Median
$223.87
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$549.54
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$575.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$338.84
Typical High
$691.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$676.08

Where South Dakota sits

The same service costs 2.7 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.

South Dakota· 7th of 51

$339

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.