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Skin Punch Biopsy, Single Site

Montana 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 negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $200 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$123$110 to $200
FacilityA hospital or hospital-owned outpatient department$200$81.28 to $219

How much rates vary

Facilitymedian $200 · 10th to 90th $79 to $1,148Professionalmedian $123 · 10th to 90th $50 to $479
$100$1K$10K$100Kfacility $200professional $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
$218.78
Median
$851.14
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$123.03
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$169.82
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$199.53
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$100.00
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$223.87

Where Montana 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.

Montana· 39th 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.