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Extra Punch Skin Biopsy, Additional Lesion

Tennessee 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?

$70.79

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $794 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 6 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$63.10$30.90 to $89.13
FacilityA hospital or hospital-owned outpatient department$794$166 to $1,778

How much rates vary

Facilitymedian $794 · 10th to 90th $49 to $2,818Professionalmedian $63 · 10th to 90th $24 to $224
$20$100$500$2Kfacility $794professional $63

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
$38.90
Median
$954.99
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$63.10
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$63.10
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$100.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$186.21
Typical High
$186.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$56.23
Typical High
$102.33

Where Tennessee 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.

Tennessee· 15th of 51

$70.79

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.