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Skin Punch Biopsy, Single Site

Maryland 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 physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $87.10 to $155.

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.

How much rates vary

Facilitymedian $126 · 10th to 90th $56 to $1,230Professionalmedian $123 · 10th to 90th $47 to $316
$1$10$100$1Kfacility $126professional $123

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
$56.23
Median
$125.89
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$123.03
Typical High
$331.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$107.15
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$109.65
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$128.82
Typical High
$204.17

Where Maryland 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.

Maryland· 41st 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.