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Skin Punch Biopsy, Single Site

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 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 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$120$53.70 to $158
FacilityA hospital or hospital-owned outpatient department$288$186 to $724

How much rates vary

Facilitymedian $288 · 10th to 90th $62 to $1,950Professionalmedian $120 · 10th to 90th $37 to $324
$10$100$1Kfacility $288professional $120

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
$70.79
Median
$295.12
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$117.49
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$97.72
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$144.54
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$131.83
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$100.00
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$100.00
Typical High
$190.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$512.86
Typical High
$512.86
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13

Where North Carolina 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.

North Carolina· 38th 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.