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Skin Punch Biopsy, Single Site

Iowa 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?

$166

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $1,072 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$158$117 to $269
FacilityA hospital or hospital-owned outpatient department$1,072$295 to $2,951

How much rates vary

Facilitymedian $1,072 · 10th to 90th $141 to $6,026Professionalmedian $158 · 10th to 90th $71 to $479
$50$200$1K$5Kfacility $1,072professional $158

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
$141.25
Median
$1,202.26
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$162.18
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$147.91
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$257.04
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$218.78
Typical High
$467.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$93.33
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$128.82
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$239.88

Where Iowa 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.

Iowa· 6th of 51

$166

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.