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Skin Punch Biopsy, Single Site

Vermont 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?

$135

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $120 to $155.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $135 · 10th to 90th $58 to $162
$50$100$200professional $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
Professional
Modifier
Global
Typical Low
$57.54
Median
$134.90
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$125.89
Typical High
$288.40
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$147.91
Typical High
$302.00

Where Vermont 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.

Vermont· 27th of 51

$135

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.