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Skin Biopsy, Each Additional Lesion

Nationwide rates for HCPCS 11101

This covers taking a small sample from an additional area of abnormal skin beyond the first one biopsied in the same visit. Each additional spot is sampled and handled the same way as the first, allowing the doctor to check more than one area of concern during a single visit. This is used when a patient has multiple spots that need to be evaluated at the same time.

Rates data updated October 2026.

How much does Skin Biopsy, Each Additional Lesion cost?

$155

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,660 from a hospital or other facility.

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 21 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$91.20 to $229
FacilityA hospital or hospital-owned outpatient department$1,660$81.28 to $3,548

How much rates vary

Facilitymedian $1,660 · 10th to 90th $54 to $4,898Professionalmedian $155 · 10th to 90th $47 to $229
$50$200$1K$5Kfacility $1,660professional $155

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

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$3,019.95
Typical High
$4,786.30
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$39.81
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$39.81
Typical High
$54.95
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$229.09
Typical High
$229.09
AvMed
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$4,466.84
Typical High
$13,182.57
AvMed
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$28.18
Typical High
$36.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$79.43
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$67.61
Typical High
$123.03
Geisinger
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.84
Typical High
$44.67
Health Partners
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$74.13
Typical High
$125.89
Health Partners
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$63.10
Typical High
$117.49
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$43.65
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$199.53
Typical High
$1,737.80
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$229.09
Typical High
$229.09
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Medcost
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$46.77
Typical High
$46.77
Medica
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$229.09
Typical High
$229.09
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$75.86
Typical High
$75.86
Midlands
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$26.92
Typical High
$34.67
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$39.81
Typical High
$60.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$36.31
Typical High
$45.71
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$52.48
Typical High
$63.10
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
$28.18
Median
$28.18
Typical High
$28.18

What it costs in each state

The same service costs 125.9 times more in New York than in Mississippi. 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.

Touch or drag across the chart to see any state's rate.

NY $3,162MS $25.12

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.