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Extra Punch Skin Biopsy, Additional Lesion

Georgia 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?

$63.10

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $2,399 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$61.66$45.71 to $85.11
FacilityA hospital or hospital-owned outpatient department$2,399$759 to $4,571

How much rates vary

Facilitymedian $2,399 · 10th to 90th $100 to $7,244Professionalmedian $62 · 10th to 90th $26 to $138
$20$100$500$2K$10Kfacility $2,399professional $62

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
$81.28
Median
$2,454.71
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$63.10
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$77.62
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$83.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$50.12
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$67.61
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$74.13
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,348.96
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$61.66
Typical High
$128.82

Where Georgia 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.

Georgia· 27th of 51

$63.10

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.