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Skin Punch Biopsy, Single Site

Maine 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?

$100

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $50.12 to $170.

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.

How much rates vary

Facilitymedian $275 · 10th to 90th $39 to $3,715Professionalmedian $100 · 10th to 90th $44 to $209
$1$10$100$1Kfacility $275professional $100

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
$38.90
Median
$275.42
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$100.00
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$109.65
Typical High
$281.84
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$128.82
Typical High
$229.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$151.36
Typical High
$389.05
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$100.00
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$125.89
Typical High
$234.42

Where Maine 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.

Maine· 51st of 51

$100

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.