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Skin Punch Biopsy, Single Site

Nebraska 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?

$162

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $3,388 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$158$117 to $204
FacilityA hospital or hospital-owned outpatient department$3,388$832 to $7,079

How much rates vary

Facilitymedian $3,388 · 10th to 90th $151 to $13,490Professionalmedian $158 · 10th to 90th $68 to $295
$100$1K$10Kfacility $3,388professional $158

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
$346.74
Median
$3,715.35
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,162.28
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$239.88
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$190.55
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$234.42
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$616.60
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$309.03

Where Nebraska 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.

Nebraska· 8th of 51

$162

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.