go back

Extra Punch Skin Biopsy, Additional Lesion

Vermont 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?

$64.57

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $53.70 to $72.44.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $65 · 10th to 90th $28 to $79
$50$100professional $65

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
Professional
Modifier
Global
Typical Low
$27.54
Median
$64.57
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$61.66
Typical High
$138.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$128.82

Where Vermont 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.

Vermont· 23rd of 51

$64.57

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.