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Skin Punch Biopsy, Single Site

Florida 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?

$123

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $2,344 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 8 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$105$53.70 to $145
FacilityA hospital or hospital-owned outpatient department$2,344$741 to $4,898

How much rates vary

Facilitymedian $2,344 · 10th to 90th $324 to $8,913Professionalmedian $105 · 10th to 90th $42 to $282
$50$200$1K$5Kfacility $2,344professional $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
$186.21
Median
$1,737.80
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$107.15
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$208.93
AvMed
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$100.00
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$97.72
Typical High
$190.55
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$6,309.57
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,412.54
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$91.20
Typical High
$181.97
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$93.33
Typical High
$125.89

Where Florida 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.

Florida· 42nd of 51

$123

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.