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Extra Punch Skin Biopsy, Additional Lesion

Illinois 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?

$64.57

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $813 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$58.88$39.81 to $85.11
FacilityA hospital or hospital-owned outpatient department$813$81.28 to $1,862

How much rates vary

Facilitymedian $813 · 10th to 90th $30 to $4,467Professionalmedian $59 · 10th to 90th $26 to $151
$20$100$500$2K$10Kfacility $813professional $59

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
$30.20
Median
$812.83
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$281.84
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$60.26
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$58.88
Typical High
$102.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$89.13
Typical High
$173.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$812.83
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$70.79
Typical High
$112.20

Where Illinois 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.

Illinois· 22nd of 51

$64.57

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.