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Extra Punch Skin Biopsy, Additional Lesion

Michigan 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?

$60.26

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $174 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$58.88$30.20 to $70.79
FacilityA hospital or hospital-owned outpatient department$174$30.90 to $468

How much rates vary

Facilitymedian $174 · 10th to 90th $1 to $2,884Professionalmedian $59 · 10th to 90th $24 to $102
$1$10$100$1Kfacility $174professional $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
$0.65
Median
$173.78
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$58.88
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$43.65
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$165.96
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$74.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$51.29
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$165.96
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$60.26
Typical High
$87.10
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$1,258.93
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$57.54
Typical High
$95.50

Where Michigan 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.

Michigan· 34th of 51

$60.26

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.