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Colorado

Cost of a Skin Biopsy Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's competitive ambulatory surgery center market in Denver has created a unique pricing landscape for dermatological procedures, with 1,439 active Skin Biopsy providers serving patients across the state's diverse urban and rural communities. Patients typically pay between $42.56 and $221.21 for a Skin Biopsy procedure, with a median out-of-pocket cost of $82.36. Colorado residents can browse all available Skin Biopsy providers throughout the state to compare costs and find the most affordable option for their needs.

Average

$115

Median

$82

Lowest

$43

Highest

$221

Providers

1,439

National avg: $124Colorado: $115

7% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Colorado?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$45$80$2081,638
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$62$133$3091,617
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$3$851,673

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 11102Tangential biopsy of skin, single lesion). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 11102 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 11102 (Tangential biopsy of skin, single lesion), as mandated by the CMS Price Transparency Rule.

What CPT 11102 covers: the provider's professional fee for skin biopsy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Skin Biopsy Visit Costs Vary Across Colorado

Colorado's healthcare costs run approximately 7% above national averages, reflecting the state's competitive Denver metro market and the logistical challenges of serving rural mountain communities. The state's unique geography creates significant cost variations between urban Front Range providers and those serving remote areas of the Western Slope and Eastern Plains.

Urban vs. Rural Provider Availability

Denver and Colorado Springs offer concentrated dermatology services with over 60% of the state's Skin Biopsy providers, while rural counties often have limited access requiring patients to travel significant distances. This geographic disparity creates higher costs in underserved areas where providers can command premium pricing due to limited competition.

Facility Type and Overhead Costs

Hospital-based dermatology clinics affiliated with major Colorado health systems like UCHealth, Presbyterian/St. Joseph, and SCL Health typically charge facility fees that can double the total cost compared to independent practices. Free-standing dermatology centers and ASCs generally offer more competitive pricing due to lower overhead costs and streamlined operations.

Insurance Market Competition in Colorado

The presence of major insurers UHC, Anthem, and Kaiser creates robust competition that has led to varied negotiated rates across different networks in Colorado. Kaiser's integrated model often provides lower costs for members, while Anthem and UHC compete aggressively for market share, resulting in competitive pricing for Skin Biopsy services.

Physician Supply and Demand in Colorado

With 1,439 active Skin Biopsy providers serving Colorado's population, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply distribution affects pricing significantly, with rural providers often charging premium rates due to limited local competition and higher practice costs in remote locations.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Skin Biopsy Costs in Colorado

What is the average cost of a Skin Biopsy visit in Colorado without insurance?

Without insurance, Skin Biopsy procedures in Colorado range from $42.56 to $221.21, with a median cost of $82.36 based on negotiated rates from 1,439 providers statewide. These costs are approximately 16% below national averages, making Colorado a relatively affordable state for dermatological procedures. Many providers offer self-pay discounts that can reduce these costs further for uninsured patients.

Does Colorado Medicaid cover Skin Biopsy visits?

Yes, Colorado Medicaid covers medically necessary Skin Biopsy procedures since the state expanded Medicaid under the Affordable Care Act. Coverage includes both the biopsy procedure and pathology analysis when ordered by a qualified healthcare provider. You may need a referral from your primary care physician depending on your specific Medicaid managed care plan.

How do I find an affordable Skin Biopsy near me in Colorado?

Compare costs across different facility types, as independent dermatology practices typically charge less than hospital-based clinics in Colorado. Ask about self-pay discounts, which many providers offer for upfront payment, and consider community health centers that serve uninsured patients. Rural areas may have limited options but sometimes offer lower baseline costs than Denver metro providers.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Skin Biopsy consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. The actual biopsy procedure itself ranges from $42.56 to $221.21 regardless of whether it's performed during an initial or follow-up visit. Follow-up visits for biopsy result discussions or additional care generally involve standard office visit fees rather than procedure costs.

Can I use an HSA or FSA to pay for a Skin Biopsy visit in Colorado?

Yes, Skin Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the consultation, biopsy procedure, pathology analysis, and any related follow-up care. Using pre-tax dollars through these accounts can provide significant savings, especially for Colorado residents in higher tax brackets.

How does telemedicine affect the cost of seeing a Skin Biopsy in Colorado?

While the actual Skin Biopsy procedure must be performed in person, initial consultations can sometimes be conducted via telemedicine at lower costs than office visits. Colorado has expanded telehealth coverage since 2020, with many insurers covering virtual dermatology consultations. However, most suspected skin lesions require in-person examination and cannot be definitively evaluated through telemedicine alone.

Click a state to compare costs

Average Visit Cost

$78
$200

Office visit (CPT 11102)

Compare With Other States

RankStateAverage
1Massachusetts
Range: $62$387
$200
2Rhode Island
Range: $35$387
$187
3New Hampshire
Range: $103$251
$182
4Connecticut
Range: $47$387
$181
5Wisconsin
Range: $60$387
$181
6New York
Range: $49$387
$179
7Pennsylvania
Range: $34$387
$173
8West Virginia
Range: $34$387
$171
9Delaware
Range: $33$387
$169
10Nebraska
Range: $47$242
$167
11Maine
Range: $100$206
$164
12Wyoming
Range: $53$307
$150
13Vermont
Range: $73$249
$149
14North Dakota
Range: $42$300
$146
15Minnesota
Range: $33$310
$144
16Iowa
Range: $54$251
$143
17Utah
Range: $54$220
$130
18District of Columbia
Range: $34$250
$127
19Oregon
Range: $54$242
$126
20South Dakota
Range: $38$242
$123
21New Mexico
Range: $46$221
$119
22Illinois
Range: $37$230
$118
23Washington
Range: $52$220
$118
24Georgia
Range: $39$219
$117
25Florida
Range: $33$229
$115
26Colorado
Range: $43$221
$115
27North Carolina
Range: $39$209
$114
28California
Range: $80$171
$112
29Indiana
Range: $35$211
$110
30Michigan
Range: $38$201
$110
31New Jersey
Range: $21$230
$108
32Hawaii
Range: $37$200
$107
33Texas
Range: $34$194
$105
34Maryland
Range: $34$203
$104
35South Carolina
Range: $34$186
$102
36Nevada
Range: $72$145
$101
37Virginia
Range: $30$193
$101
38Idaho
Range: $47$175
$101
39Oklahoma
Range: $32$187
$99
40Missouri
Range: $36$136
$94
41Ohio
Range: $30$164
$94
42Louisiana
Range: $31$170
$94
43Tennessee
Range: $36$160
$94
44Kentucky
Range: $50$144
$91
45Arkansas
Range: $39$146
$90
46Kansas
Range: $36$140
$90
47Montana
Range: $80$108
$89
48Alabama
Range: $31$152
$88
49Mississippi
Range: $32$152
$88
50Alaska
Range: $80$95
$85
51Arizona
Range: $32$132
$78
Skin Biopsy in Other States