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Extra Punch Skin Biopsy, Additional Lesion

Virginia 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?

$61.66

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $427 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$60.26$34.67 to $81.28
FacilityA hospital or hospital-owned outpatient department$427$43.65 to $3,236

How much rates vary

Facilitymedian $427 · 10th to 90th $30 to $7,079Professionalmedian $60 · 10th to 90th $25 to $110
$20$100$500$2K$10Kfacility $427professional $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
$38.02
Median
$1,949.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$60.26
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$97.72
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$57.54
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$87.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$50.12
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$51.29
Typical High
$100.00

Where Virginia 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.

Virginia· 31st of 51

$61.66

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.