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Skin Punch Biopsy, Single Site

Indiana 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?

$129

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $1,479 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 6 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$117$70.79 to $155
FacilityA hospital or hospital-owned outpatient department$1,479$282 to $4,898

How much rates vary

Facilitymedian $1,479 · 10th to 90th $68 to $7,943Professionalmedian $117 · 10th to 90th $44 to $214
$50$200$1K$5Kfacility $1,479professional $117

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
$52.48
Median
$323.59
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$117.49
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$93.33
Typical High
$181.97

Where Indiana 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.

Indiana· 35th of 51

$129

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.