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Skin Punch Biopsy, Single Site

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $2,951 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$132$110 to $209
FacilityA hospital or hospital-owned outpatient department$2,951$407 to $3,388

How much rates vary

Facilitymedian $2,951 · 10th to 90th $129 to $4,571Professionalmedian $132 · 10th to 90th $44 to $427
$50$200$1K$5Kfacility $2,951professional $132

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
$128.82
Median
$2,951.21
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$131.83
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$134.90
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$288.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,202.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$109.65
Typical High
$194.98
Select Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$173.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$151.36
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$97.72
Typical High
$169.82

Where Utah 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.

Utah· 31st 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.