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Skin Punch Biopsy, Single Site

South Dakota 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?

$200

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $234 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$200$107 to $288
FacilityA hospital or hospital-owned outpatient department$234$191 to $977

How much rates vary

Facilitymedian $234 · 10th to 90th $78 to $1,072Professionalmedian $200 · 10th to 90th $39 to $331
$20$50$100$200$500$1K$2Kfacility $234professional $200

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
$234.42
Median
$977.24
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$199.53
Typical High
$323.59
Avera
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$93.33
Avera
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$295.12
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$120.23
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$134.90
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$275.42

Where South Dakota 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 Dakota· 4th of 51

$200

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.