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Extra Punch Skin Biopsy, Additional Lesion

South 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?

$63.10

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $339 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$60.26$28.18 to $105
FacilityA hospital or hospital-owned outpatient department$339$115 to $4,898

How much rates vary

Facilitymedian $339 · 10th to 90th $33 to $9,772Professionalmedian $60 · 10th to 90th $25 to $191
$100$1K$10Kfacility $339professional $60

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
$63.10
Median
$354.81
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$61.66
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$56.23
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$239.88
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$31.62
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$91.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$52.48
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,174.90
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$48.98
Typical High
$79.43

Where South 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.

South Carolina· 24th 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.