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Extra Punch Skin Biopsy, Additional Lesion

North Carolina 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 North Carolina, 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 $129 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$57.54$33.11 to $100
FacilityA hospital or hospital-owned outpatient department$129$57.54 to $933

How much rates vary

Facilitymedian $129 · 10th to 90th $28 to $2,570Professionalmedian $58 · 10th to 90th $23 to $162
$10$100$1K$10Kfacility $129professional $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
$38.02
Median
$165.96
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$46.77
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$70.79
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$63.10
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$51.29
Typical High
$93.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$186.21
Typical High
$186.21
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$501.19

Where North Carolina 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.

North Carolina· 38th 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.