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Extra Punch Skin Biopsy, Additional Lesion

New Jersey 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?

$63.10

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $37.15 to $191.

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.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $83 to $10,471Professionalmedian $55 · 10th to 90th $23 to $295
$100$1K$10Kfacility $4,571professional $55

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
$83.18
Median
$4,677.35
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$54.95
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$61.66
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$100.00
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$38.90
Typical High
$100.00

Where New Jersey 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.

New Jersey· 25th of 51

$63.10

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.