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Skin Punch Biopsy, Single Site

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $646 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 7 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$129$91.20 to $195
FacilityA hospital or hospital-owned outpatient department$646$200 to $1,622

How much rates vary

Facilitymedian $646 · 10th to 90th $60 to $4,677Professionalmedian $129 · 10th to 90th $50 to $288
$50$200$1K$5Kfacility $646professional $129

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
$58.88
Median
$707.95
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$128.82
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$114.82
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$120.23
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$120.23
Typical High
$208.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$173.78
Typical High
$371.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$223.87

Where Illinois 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.

Illinois· 21st 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.