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Skin Wedge Biopsy, Single Site

Illinois rates for HCPCS 11106

Removes a small wedge-shaped piece of skin, cutting deeper than a shave or punch biopsy, to obtain a fuller sample of skin for diagnosis. The wound is typically closed with simple stitches at the same time. This version covers a single site; sampling additional areas during the same visit is billed separately.

Rates data updated July 2026.

How much does Skin Wedge Biopsy, Single Site cost?

$155

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $1,230 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 7 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$141$69.18 to $209
FacilityA hospital or hospital-owned outpatient department$1,230$251 to $2,754

How much rates vary

Facilitymedian $1,230 · 10th to 90th $71 to $5,623Professionalmedian $141 · 10th to 90th $52 to $347
$50$200$1K$5Kfacility $1,230professional $141

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
$66.07
Median
$1,258.93
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$141.25
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,047.13
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$141.25
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$147.91
Typical High
$257.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$218.78
Typical High
$489.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,380.38
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$275.42

Where Illinois sits

The same service costs 1.9 times more in Alaska than in Wyoming. 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.

Illinois· 22nd of 51

$155

AK $229WY $120

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.