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Extra Punch Skin Biopsy, Additional Lesion

West 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?

$74.13

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $363 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 5 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$61.66$52.48 to $93.33
FacilityA hospital or hospital-owned outpatient department$363$209 to $389

How much rates vary

Facilitymedian $363 · 10th to 90th $38 to $389Professionalmedian $62 · 10th to 90th $26 to $102
$20$50$100$200$500$1Kfacility $363professional $62

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
$53.70
Median
$363.08
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$61.66
Typical High
$102.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$32.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$57.54
Typical High
$288.40
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$46.77
Typical High
$91.20

Where West 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.

West Virginia· 11th of 51

$74.13

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.