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Skin Punch Biopsy, Single Site

Alabama rates for HCPCS 11104

This procedure removes a small, cylindrical sample of skin using a circular cutting tool, going deep enough to capture the full thickness of the skin for examination under a microscope. It's used to help diagnose a rash, growth, or other skin condition when a visual exam alone isn't enough to determine what it is. The small wound is often closed with a stitch or two as part of the same visit.

Rates data updated July 2026.

How much does Skin Punch Biopsy, Single Site cost?

$115

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $759 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$44.67 to $120
FacilityA hospital or hospital-owned outpatient department$759$562 to $1,047

How much rates vary

Facilitymedian $759 · 10th to 90th $251 to $1,585Professionalmedian $107 · 10th to 90th $42 to $191
$50$100$200$500$1K$2Kfacility $759professional $107

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
$114.82
Median
$831.76
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$109.65
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$89.13
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$85.11
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$93.33
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$645.65
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$91.20
Typical High
$141.25

Where Alabama sits

The same service costs 2.5 times more in Alaska than in Maine. 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.

Alabama· 46th of 51

$115

AK $245ME $100

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.