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Extra Punch Skin Biopsy, Additional Lesion

Colorado rates for HCPCS 11105

A small, cylindrical sample of skin is removed with a punch tool from an additional spot beyond the first one already biopsied in the same visit, so the tissue can be examined under a microscope. It applies each time an extra lesion is sampled during the same session.

Rates data updated July 2026.

How much does Extra Punch Skin Biopsy, Additional Lesion cost?

$61.66

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $1,288 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$53.70$25.70 to $72.44
FacilityA hospital or hospital-owned outpatient department$1,288$87.10 to $5,129

How much rates vary

Facilitymedian $1,288 · 10th to 90th $30 to $6,457Professionalmedian $54 · 10th to 90th $23 to $102
$20$100$500$2K$10Kfacility $1,288professional $54

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
$61.66
Median
$3,235.94
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$100.00
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$51.29
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$89.13
Typical High
$131.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$42.66
Typical High
$131.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,412.54
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$61.66
Typical High
$109.65

Where Colorado 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.

Colorado· 29th of 51

$61.66

AK $123ME $48.98

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.