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Skin Punch Biopsy, Single Site

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $4,467 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$66.07 to $162
FacilityA hospital or hospital-owned outpatient department$4,467$1,862 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $229 to $10,471Professionalmedian $120 · 10th to 90th $43 to $427
$100$1K$10Kfacility $4,467professional $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
$112.20
Median
$4,466.84
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$123.03
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$151.36
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$28,183.83
Typical High
$54,954.09
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$123.03
Typical High
$257.04
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$199.53
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,513.56
Typical High
$2,089.30
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$114.82
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$75.86
Typical High
$208.93

Where New Jersey 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.

New Jersey· 26th 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.