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Extra Punch Skin Biopsy, Additional Lesion

Kentucky 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?

$53.70

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $794 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$51.29$28.84 to $67.61
FacilityA hospital or hospital-owned outpatient department$794$47.86 to $3,890

How much rates vary

Facilitymedian $794 · 10th to 90th $25 to $10,715Professionalmedian $51 · 10th to 90th $21 to $93
$20$100$500$2K$10Kfacility $794professional $51

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
$24.55
Median
$398.11
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$54.95
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$38.90
Typical High
$58.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$33.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$52.48
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$58.88
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$87.10

Where Kentucky 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.

Kentucky· 49th of 51

$53.70

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.