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Extra Punch Skin Biopsy, Additional Lesion

Montana 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?

$57.54

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $66.07 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 6 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$57.54$46.77 to $81.28
FacilityA hospital or hospital-owned outpatient department$66.07$44.67 to $102

How much rates vary

Facilitymedian $66 · 10th to 90th $44 to $115Professionalmedian $58 · 10th to 90th $25 to $170
$100$1K$10K$100Kfacility $66professional $58

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
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$57.54
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$79.43
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$39.81
Typical High
$93.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$104.71
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$104.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$46.77
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$79.43
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$109.65

Where Montana 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.

Montana· 41st of 51

$57.54

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.