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Skin Punch Biopsy, Single Site

West 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?

$155

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $631 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 5 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$129$87.10 to $186
FacilityA hospital or hospital-owned outpatient department$631$468 to $871

How much rates vary

Facilitymedian $631 · 10th to 90th $115 to $2,754Professionalmedian $129 · 10th to 90th $47 to $251
$50$100$200$500$1K$2Kfacility $631professional $129

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
$114.82
Median
$630.96
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$128.82
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$588.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$645.65
Typical High
$891.25
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$186.21

Where West 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.

West Virginia· 12th of 51

$155

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.