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Skin Punch Biopsy, Single Site

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $490 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$126$85.11 to $191
FacilityA hospital or hospital-owned outpatient department$490$117 to $2,344

How much rates vary

Facilitymedian $490 · 10th to 90th $56 to $5,248Professionalmedian $126 · 10th to 90th $47 to $257
$50$200$1K$5Kfacility $490professional $126

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
$69.18
Median
$954.99
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$128.82
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$204.17
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$117.49
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$102.33
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$208.93

Where Virginia 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.

Virginia· 32nd 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.