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Skin Punch Biopsy, Single Site

Kentucky 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?

$117

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $417 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$115$77.62 to $182
FacilityA hospital or hospital-owned outpatient department$417$83.18 to $1,778

How much rates vary

Facilitymedian $417 · 10th to 90th $59 to $8,511Professionalmedian $115 · 10th to 90th $41 to $257
$50$200$1K$5Kfacility $417professional $115

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
$371.54
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$123.03
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$77.62
Typical High
$120.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$63.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$107.15
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$120.23
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$102.33
Typical High
$177.83

Where Kentucky 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.

Kentucky· 45th of 51

$117

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.