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Skin Punch Biopsy, Single Site

Georgia 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?

$138

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $2,455 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$135$95.50 to $209
FacilityA hospital or hospital-owned outpatient department$2,455$1,259 to $3,802

How much rates vary

Facilitymedian $2,455 · 10th to 90th $631 to $5,370Professionalmedian $135 · 10th to 90th $50 to $282
$50$200$1K$5Kfacility $2,455professional $135

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
$446.68
Median
$2,691.53
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$134.90
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$144.54
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$114.82
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$53.70
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$173.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$154.88
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,348.96
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$123.03
Typical High
$275.42

Where Georgia 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.

Georgia· 20th of 51

$138

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.