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Extra Punch Skin Biopsy, Additional Lesion

Iowa 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?

$77.62

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $2,239 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$75.86$54.95 to $155
FacilityA hospital or hospital-owned outpatient department$2,239$158 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $66 to $6,761Professionalmedian $76 · 10th to 90th $25 to $302
$20$100$500$2K$10Kfacility $2,239professional $76

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
$89.13
Median
$2,398.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$75.86
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$70.79
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$89.13
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$208.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$109.65
Typical High
$229.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$67.61
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$120.23

Where Iowa 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.

Iowa· 8th of 51

$77.62

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.