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Skin Biopsy, First Lesion

New York rates for HCPCS 11100

This covers taking a small sample of skin from a single abnormal area, such as a mole, rash, or growth, so it can be examined under a microscope. The doctor removes a small piece of the affected skin, and the wound may be closed with simple stitches if needed. This helps identify what the skin condition is, including checking for skin cancer.

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $933 to $4,898Professionalmedian $200 · 10th to 90th $200 to $200
$200$500$1K$2K$5K$10Kfacility $3,162professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,162.28
Typical High
$4,897.79
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$85.11
Median
$85.11
Typical High
$85.11