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Skin Punch Biopsy, Single Site

Oregon 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?

$151

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $240 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 8 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$148$112 to $263
FacilityA hospital or hospital-owned outpatient department$240$145 to $316

How much rates vary

Facilitymedian $240 · 10th to 90th $69 to $1,698Professionalmedian $148 · 10th to 90th $69 to $417
$20$100$500$2Kfacility $240professional $148

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
$85.11
Median
$309.03
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$147.91
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$114.82
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$199.53
Typical High
$302.00
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$239.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$114.82
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$309.03

Where Oregon 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.

Oregon· 14th of 51

$151

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.