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Extra Punch Skin Biopsy, Additional Lesion

Rhode Island 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 physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $29.51 to $66.07.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $316 to $3,981Professionalmedian $54 · 10th to 90th $24 to $78
$20$100$500$2Kfacility $1,413professional $54

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$1,548.82
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$53.70
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$46.77
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$60.26
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,412.54
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$48.98
Typical High
$102.33

Where Rhode Island 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.

Rhode Island· 45th 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.