go back

Skin Punch Biopsy, Single Site

South Carolina 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?

$132

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $589 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$51.29 to $204
FacilityA hospital or hospital-owned outpatient department$589$288 to $6,457

How much rates vary

Facilitymedian $589 · 10th to 90th $115 to $9,772Professionalmedian $120 · 10th to 90th $46 to $347
$50$200$1K$5K$20Kfacility $589professional $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
$134.90
Median
$4,897.79
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$123.03
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$104.71
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$436.52
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$114.82
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$104.71
Typical High
$181.97
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$95.50
Typical High
$162.18

Where South Carolina 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.

South Carolina· 29th of 51

$132

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.