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Skin Punch Biopsy, Single Site

Rhode Island 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?

$102

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $53.70 to $135.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,230 · 10th to 90th $398 to $3,802Professionalmedian $102 · 10th to 90th $44 to $162
$50$100$200$500$1K$2K$5Kfacility $1,230professional $102

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,513.56
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$102.33
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$123.03
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$97.72
Typical High
$208.93

Where Rhode Island 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.

Rhode Island· 50th of 51

$102

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.