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Skin Punch Biopsy, Single Site

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $229 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$120$72.44 to $195
FacilityA hospital or hospital-owned outpatient department$229$117 to $891

How much rates vary

Facilitymedian $229 · 10th to 90th $85 to $4,467Professionalmedian $120 · 10th to 90th $50 to $240
$50$200$1K$5Kfacility $229professional $120

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
$85.11
Median
$229.09
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$120.23
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$501.19
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$89.13
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$199.53
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,318.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$245.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$1,023.29
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$208.93

Where Idaho 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.

Idaho· 40th 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.