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Skin Punch Biopsy, Single Site

Oklahoma 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?

$158

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $2,042 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$120$53.70 to $138
FacilityA hospital or hospital-owned outpatient department$2,042$933 to $3,311

How much rates vary

Facilitymedian $2,042 · 10th to 90th $138 to $4,786Professionalmedian $120 · 10th to 90th $46 to $166
$50$200$1K$5Kfacility $2,042professional $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
$125.89
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$100.00
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$120.23
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$131.83
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$138.04
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$602.56
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$91.20
Typical High
$162.18

Where Oklahoma 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.

Oklahoma· 9th of 51

$158

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.