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Skin biopsy: what insurers pay

Removing a small piece of skin for testing: tangential/shave (11102) or punch (11104). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 11102: Skin Biopsy

1340 hospitals in 82 markets. National Medicare rate $415, surgery center $73.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)17$327$372$439$182–$1,518
Alaska (statewide)4———$551–$2,539
Arizona (statewide)12$285$324$750$235–$2,044
Arkansas (statewide)16$238$328$409$192–$798
Atlanta GA10$2,165$2,165$2,534$1,944–$2,534
Austin TX13$337$596$1,736$337–$1,736
Boston MA12$406$440$482$357–$552
California (statewide)59$575$752$810$270–$2,950
Charlotte NC6$236$236$236$233–$282
Chicago IL10$1,009$1,570$2,380$511–$3,181
Cleveland OH11$1,054$1,138$1,712$769–$1,860
Colorado (statewide)18$360$506$1,508$233–$2,182
Columbus OH2———$722–$722
Connecticut (statewide)3———$396–$3,181
Dallas-Fort Worth TX14$582$996$1,757$582–$1,817
Delaware (statewide)1———$1,105–$1,105
Denver CO15$1,060$1,967$2,116$902–$2,722
Detroit MI7$345$628$628$227–$838
Florida (statewide)70$847$1,950$2,297$291–$3,000
Georgia (statewide)47$1,071$1,860$2,310$312–$2,816
Hawaii (statewide)4———$259–$1,433
Houston TX17$776$1,633$1,672$439–$1,672
Idaho (statewide)14$450$554$880$248–$1,567
Illinois (statewide)37$473$748$1,032$242–$3,260
Indiana (statewide)35$434$672$1,829$215–$3,331
Indianapolis IN2———$569–$1,820
Iowa (statewide)31$354$441$787$214–$3,047
Kansas (statewide)42$248$356$660$207–$1,898
Kentucky (statewide)14$303$395$729$235–$1,895
Las Vegas NV2———$725–$1,312
Los Angeles CA17$799$970$1,128$363–$2,344
Louisiana (statewide)19$453$546$630$270–$1,043
Maine (statewide)17$814$914$945$401–$1,188
Maryland (statewide)1———$260–$260
Massachusetts (statewide)9$568$590$871$370–$1,494
Miami-Fort Lauderdale FL7$366$425$578$366–$1,236
Michigan (statewide)22$265$405$487$205–$838
Minneapolis-St. Paul MN13$415$460$639$280–$656
Minnesota (statewide)18$413$538$618$266–$810
Mississippi (statewide)21$323$345$444$216–$1,108
Missouri (statewide)26$547$773$1,339$252–$3,237
Montana (statewide)7$346$474$876$248–$3,109
Nashville TN8$388$957$1,482$266–$1,482
Nebraska (statewide)21$282$755$1,312$247–$3,047
Nevada (statewide)5$950$1,312$1,688$861–$1,688
New Hampshire (statewide)6$1,105$1,302$1,700$673–$2,214
New Jersey (statewide)28$380$1,022$2,770$231–$3,205
New Mexico (statewide)8$758$889$1,198$270–$1,422
New York (statewide)37$645$856$1,380$346–$3,109
New York City8$611$645$822$505–$1,543
North Carolina (statewide)8$545$746$1,007$388–$1,078
North Dakota (statewide)9$272$354$498$220–$1,651
Ohio (statewide)41$842$1,067$1,388$293–$2,623
Oklahoma (statewide)24$402$478$672$208–$1,238
Oregon (statewide)16$509$661$742$248–$1,562
Pennsylvania (statewide)46$448$656$927$260–$1,798
Philadelphia PA10$699$989$1,606$589–$1,810
Phoenix AZ7$2,044$2,044$2,044$380–$2,044
Pittsburgh PA10$316$352$411$279–$516
Portland OR9$1,213$1,213$1,326$906–$1,326
Research Triangle NC3———$313–$506
Rhode Island (statewide)6$480$550$742$446–$914
Richmond VA3———$1,948–$2,268
Rio Grande Valley TX6$573$628$1,382$548–$1,894
Salt Lake City UT9$238$238$238$234–$242
San Antonio TX3———$327–$1,792
San Diego CA3———$740–$964
San Francisco Bay Area CA4———$646–$3,664
Seattle-Tacoma WA16$584$748$876$567–$1,138
South Carolina (statewide)30$425$594$938$249–$1,679
South Dakota (statewide)6$648$849$857$249–$1,058
St. Louis MO4———$1,106–$1,199
Tampa FL6$2,220$2,482$2,482$890–$2,482
Tennessee (statewide)33$263$469$733$261–$1,804
Texas (statewide)68$538$774$996$219–$2,288
Utah (statewide)5$223$223$238$217–$307
Vermont (statewide)2———$337–$417
Virginia (statewide)27$1,184$1,806$1,969$261–$2,767
Washington (statewide)16$533$615$777$361–$1,201
Washington DC11$976$1,102$1,410$784–$1,770
West Virginia (statewide)12$209$279$459$206–$2,706
Wisconsin (statewide)44$396$1,230$1,894$206–$2,465

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Cullman Regional Medical CenterAlabama (statewide)$1820.5×52026-01-19
Dallas County Medical CenterArkansas (statewide)$1920.5×12026-03-27
Arkansas Heart Hospital, LlcArkansas (statewide)$1960.5×12025-11-21
Corewell Health Lakeland Hospitals St Joseph HospiMichigan (statewide)$2050.5×12026-05-01
Amery Hospital & ClinicWisconsin (statewide)$2060.5×22026-03-31
West Virginia University Hospitals, IncWest Virginia (statewide)$2060.5×12026-07-10
Stanton County HospitalKansas (statewide)$2070.6×12026-09-18
St Mary'S Regional Medical CenterOklahoma (statewide)$2080.5×12026-09-01
Marshfield Medical Center - Rice LakeWisconsin (statewide)$2080.5×12026-02-20
Marshfield Medical Center - MinocquaWisconsin (statewide)$2080.5×12026-02-20
United Hospital Center, IncWest Virginia (statewide)$2090.5×32026-07-10
Berkeley Medical CenterWest Virginia (statewide)$2090.5×32026-07-09
Advocate Christ Medical CenterChicago IL$3,1817.3×12025-11-04
Advocate Lutheran General HospitalChicago IL$3,1817.3×12025-11-04
Advocate Good Samaritan HospitalIllinois (statewide)$3,1817.3×12025-11-04
Advocate Good Shepherd HospitalIllinois (statewide)$3,1817.3×12025-11-04
Parkview Wabash Hospital, IncIndiana (statewide)$3,1937.4×12026-09-01
Advocate Condell Medical CenterIllinois (statewide)$3,2027.3×12025-11-04
Hackensack University Medical CenterNew Jersey (statewide)$3,2056.6×12025-12-31
Wright Memorial HospitalMissouri (statewide)$3,2337.9×12025-12-31
Mercy Hospital PerryMissouri (statewide)$3,2378.0×12026-03-12
Advocate Sherman HospitalIllinois (statewide)$3,2607.5×12025-11-04
Parkview Whitley HospitalIndiana (statewide)$3,3317.8×12026-09-01
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$3,6646.4×22026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 11104: Skin Biopsy

1455 hospitals in 81 markets. National Medicare rate $415, surgery center $92.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)22$372$506$693$241–$1,528
Alaska (statewide)4———$604–$2,539
Arizona (statewide)17$432$502$615$258–$1,924
Arkansas (statewide)16$392$486$548$275–$727
Atlanta GA6$2,007$2,165$2,165$1,944–$2,165
Austin TX13$397$785$1,736$387–$1,736
Boston MA15$420$466$498$357–$552
California (statewide)64$568$1,156$1,512$384–$2,215
Charlotte NC7$472$475$475$280–$682
Chicago IL10$828$1,220$2,380$412–$3,181
Cleveland OH11$1,054$1,138$1,712$769–$1,860
Colorado (statewide)21$473$668$1,060$294–$2,182
Columbus OH2———$1,462–$1,462
Connecticut (statewide)3———$730–$3,181
Dallas-Fort Worth TX14$611$996$1,757$611–$1,817
Delaware (statewide)1———$1,105–$1,105
Denver CO15$1,060$1,967$2,116$922–$2,722
Detroit MI10$308$364$442$260–$496
Florida (statewide)71$854$1,950$2,230$291–$3,000
Georgia (statewide)47$1,276$1,914$2,276$372–$3,230
Hawaii (statewide)5$578$597$600$495–$1,433
Houston TX17$776$1,633$1,672$578–$1,672
Idaho (statewide)18$403$718$1,015$212–$1,645
Illinois (statewide)39$618$824$1,198$242–$3,260
Indiana (statewide)44$637$787$1,462$360–$3,331
Indianapolis IN3———$825–$1,691
Iowa (statewide)40$412$714$864$213–$1,474
Kansas (statewide)47$462$514$700$230–$1,725
Kentucky (statewide)14$322$503$639$282–$1,895
Las Vegas NV2———$725–$1,312
Los Angeles CA17$799$970$1,128$627–$2,344
Louisiana (statewide)21$437$554$666$286–$1,086
Maine (statewide)18$1,637$1,797$1,900$401–$2,390
Maryland (statewide)1———$566–$566
Massachusetts (statewide)9$575$620$871$370–$1,494
Miami-Fort Lauderdale FL8$366$419$660$366–$1,434
Michigan (statewide)29$332$390$414$205–$974
Minneapolis-St. Paul MN15$625$703$835$314–$1,084
Minnesota (statewide)20$393$804$1,068$210–$1,474
Mississippi (statewide)23$388$658$825$225–$1,177
Missouri (statewide)22$521$792$1,339$338–$3,233
Montana (statewide)8$728$880$1,176$213–$3,088
Nashville TN8$780$1,175$1,482$536–$1,482
Nebraska (statewide)25$306$540$949$219–$1,501
Nevada (statewide)6$912$1,186$1,594$818–$1,688
New Hampshire (statewide)6$1,281$1,348$1,703$1,053–$2,214
New Jersey (statewide)27$464$1,096$1,629$437–$2,805
New Mexico (statewide)9$627$801$1,192$476–$1,422
New York (statewide)43$554$878$1,386$361–$3,109
New York City9$510$515$1,177$507–$2,974
North Carolina (statewide)11$462$599$1,010$374–$1,928
North Dakota (statewide)8$308$698$999$223–$1,685
Ohio (statewide)45$800$1,096$1,388$197–$2,623
Oklahoma (statewide)21$600$760$829$208–$1,235
Oregon (statewide)18$680$963$1,384$407–$1,927
Pennsylvania (statewide)53$558$844$1,117$311–$1,798
Philadelphia PA10$793$1,144$1,606$589–$1,810
Phoenix AZ9$564$1,448$1,448$265–$1,448
Pittsburgh PA12$367$461$714$306–$1,006
Portland OR9$1,326$1,326$1,554$906–$1,554
Research Triangle NC4———$315–$1,350
Rhode Island (statewide)6$541$679$822$446–$914
Richmond VA3———$1,948–$2,268
Rio Grande Valley TX6$594$739$1,417$548–$1,894
Salt Lake City UT9$286$286$288$286–$317
San Antonio TX3———$638–$1,792
San Diego CA7$908$915$915$740–$964
San Francisco Bay Area CA5$646$1,192$2,686$646–$3,664
Seattle-Tacoma WA16$1,130$1,159$1,208$998–$1,428
South Carolina (statewide)30$398$594$938$249–$1,679
South Dakota (statewide)6$674$849$857$496–$1,952
St. Louis MO4———$1,106–$3,153
Tampa FL6$1,450$1,450$1,450$890–$2,132
Tennessee (statewide)37$482$657$821$218–$1,804
Texas (statewide)73$569$785$996$210–$2,288
Utah (statewide)8$267$302$363$215–$407
Virginia (statewide)27$1,184$1,806$1,969$450–$2,767
Washington (statewide)16$706$1,052$1,104$407–$1,760
Washington DC11$990$1,119$1,422$806–$1,770
West Virginia (statewide)13$209$345$444$206–$2,706
Wisconsin (statewide)47$646$1,148$1,810$283–$2,465

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Hocking Valley Community HospitalOhio (statewide)$1970.5×12026-07-31
Corewell Health Lakeland Hospitals St Joseph HospiMichigan (statewide)$2050.5×12026-05-01
West Virginia University Hospitals, IncWest Virginia (statewide)$2060.5×12026-07-10
St Mary'S Regional Medical CenterOklahoma (statewide)$2080.5×12026-09-01
United Hospital Center, IncWest Virginia (statewide)$2090.5×32026-07-10
Berkeley Medical CenterWest Virginia (statewide)$2090.5×32026-07-09
Reynolds Memorial Hospital, IncWest Virginia (statewide)$2090.5×32026-07-09
Camden Clark Medical CenterWest Virginia (statewide)$2090.5×32026-07-09
Ely - Bloomenson Community HospitalMinnesota (statewide)$2100.5×12026-09-01
University Medical Center Of El PasoTexas (statewide)$2100.5×12026-03-16
Teton Valley HospitalIdaho (statewide)$2120.5×12026-07-21
Story County HospitalIowa (statewide)$2130.5×12026-03-30
Advocate Christ Medical CenterChicago IL$3,1817.3×12025-11-04
Advocate Lutheran General HospitalChicago IL$3,1817.3×12025-11-04
Advocate Good Samaritan HospitalIllinois (statewide)$3,1817.3×12025-11-04
Advocate Good Shepherd HospitalIllinois (statewide)$3,1817.3×12025-11-04
Parkview Wabash Hospital, IncIndiana (statewide)$3,1937.4×12026-09-01
Advocate Condell Medical CenterIllinois (statewide)$3,2027.3×12025-11-04
Piedmont Newton HospitalGeorgia (statewide)$3,2307.9×12026-07-01
Piedmont Rockdale HospitalGeorgia (statewide)$3,2307.9×12026-07-01
Wright Memorial HospitalMissouri (statewide)$3,2337.9×12025-12-31
Advocate Sherman HospitalIllinois (statewide)$3,2607.5×12025-11-04
Parkview Whitley HospitalIndiana (statewide)$3,3317.8×12026-09-01
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$3,6646.4×22026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for skin biopsy?

Across 1340 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 11102, hospital outpatient is $717, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $420 to $1,326. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for skin biopsy?

Medicare's national hospital outpatient rate for CPT 11102 is $415 and its surgery-center rate is $73, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for skin biopsy?

Lowest medians: Cullman Regional Medical Center ($182), Dallas County Medical Center ($192), Arkansas Heart Hospital, Llc ($196). Highest: Stanford Health Care Tri-Valley ($3,664), Parkview Whitley Hospital ($3,331), Advocate Sherman Hospital ($3,260). Coverage: every hospital whose price file we could read.