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Skin Punch Biopsy, Single Site

Michigan 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?

$135

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $288 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 8 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$123$81.28 to $158
FacilityA hospital or hospital-owned outpatient department$288$148 to $871

How much rates vary

Facilitymedian $288 · 10th to 90th $58 to $2,138Professionalmedian $123 · 10th to 90th $49 to $224
$50$100$200$500$1K$2K$5Kfacility $288professional $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
$57.54
Median
$288.40
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$120.23
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$147.91
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$48.98
Typical High
$147.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$107.15
Typical High
$229.09
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$181.97
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$123.03
Typical High
$181.97
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$870.96
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$104.71
Typical High
$190.55

Where Michigan 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.

Michigan· 24th of 51

$135

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.