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Skin Punch Biopsy, Single Site

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $1,047 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$135$72.44 to $200
FacilityA hospital or hospital-owned outpatient department$1,047$468 to $2,138

How much rates vary

Facilitymedian $1,047 · 10th to 90th $105 to $2,818Professionalmedian $135 · 10th to 90th $45 to $288
$50$200$1K$5Kfacility $1,047professional $135

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
$87.10
Median
$1,096.48
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$138.04
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$112.20
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$114.82
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$112.20
Typical High
$208.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$512.86
Typical High
$512.86
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$109.65
Typical High
$208.93

Where Tennessee 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.

Tennessee· 16th 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.