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Extra Punch Skin Biopsy, Additional Lesion

South Dakota 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?

$85.11

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $977 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 8 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$83.18$51.29 to $138
FacilityA hospital or hospital-owned outpatient department$977$61.66 to $977

How much rates vary

Facilitymedian $977 · 10th to 90th $34 to $977Professionalmedian $83 · 10th to 90th $21 to $162
$20$50$100$200$500$1K$2Kfacility $977professional $83

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
$977.24
Median
$977.24
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$87.10
Typical High
$162.18
Avera
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$107.15
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$64.57
Typical High
$102.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$120.23
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$123.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$69.18
Typical High
$151.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$138.04

Where South Dakota 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 Dakota· 4th of 51

$85.11

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.