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Skin Punch Biopsy, Single Site

Kansas 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 Kansas, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $1,349 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$126$93.33 to $155
FacilityA hospital or hospital-owned outpatient department$1,349$234 to $3,631

How much rates vary

Facilitymedian $1,349 · 10th to 90th $76 to $6,457Professionalmedian $126 · 10th to 90th $51 to $191
$50$200$1K$5Kfacility $1,349professional $126

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
$112.20
Median
$1,479.11
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$125.89
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$100.00
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$478.63
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$112.20
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$144.54
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$398.11
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$109.65
Typical High
$181.97

Where Kansas 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.

Kansas· 23rd 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.