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Skin Punch Biopsy, Single Site

North Dakota 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?

$214

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $234 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 5 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$214$95.50 to $295
FacilityA hospital or hospital-owned outpatient department$234$126 to $977

How much rates vary

Facilitymedian $234 · 10th to 90th $49 to $1,995Professionalmedian $214 · 10th to 90th $45 to $331
$20$100$500$2Kfacility $234professional $214

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
$48.98
Median
$234.42
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$245.47
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$125.89
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$125.89
Typical High
$251.19

Where North Dakota 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 Dakota· 3rd of 51

$214

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.