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Skin Punch Biopsy, Single Site

Delaware 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?

$107

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $1,288 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 4 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$45.71 to $126
FacilityA hospital or hospital-owned outpatient department$1,288$550 to $2,399

How much rates vary

Facilitymedian $1,288 · 10th to 90th $457 to $4,571Professionalmedian $107 · 10th to 90th $41 to $316
$50$100$200$500$1K$2K$5Kfacility $1,288professional $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
$457.09
Median
$1,288.25
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$107.15
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$112.20
Typical High
$173.78
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$2,398.83
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$117.49
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$95.50
Typical High
$165.96

Where Delaware 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.

Delaware· 49th of 51

$107

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.