go back

Skin Punch Biopsy, Single Site

Washington, DC 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?

$120

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $46.77 to $324.

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.

How much rates vary

Facilitymedian $1,349 · 10th to 90th $112 to $3,162Professionalmedian $105 · 10th to 90th $43 to $186
$50$100$200$500$1K$2K$5Kfacility $1,349professional $105

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
$112.20
Median
$1,348.96
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$104.71
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$112.20
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$549.54
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$97.72
Typical High
$194.98

Where Washington, DC 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.

Washington, DC· 44th of 51

$120

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.