Cost of a Skin Biopsy Visit
in Delaware
Reviewed by Momentary Medical Group West PC
Delaware's concentrated healthcare market, with the majority of specialists clustered around Wilmington and Dover, creates distinct pricing patterns for medical services across the First State. Skin Biopsy patients typically pay between $32.79 and $386.71, with a median out-of-pocket cost of $87.95 based on negotiated insurance rates. Delaware has 87 active Skin Biopsy providers serving the state's population, offering patients multiple options to browse all providers in Delaware.
Average
$169
Median
$88
Lowest
$33
Highest
$387
Providers
87
36% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Delaware?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $41 | $80 | $538 | 103 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $76 | $117 | $464 | 100 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $4 | $82 | 118 |
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 11102 — Tangential 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 Delaware
Delaware's healthcare costs run approximately 11% above national averages, driven by the state's proximity to high-cost metropolitan areas and limited geographic area that concentrates most specialists in New Castle County. The First State's small size creates unique market dynamics where patients often travel significant distances relative to the state's borders for specialized care.
Urban vs. Rural Provider Availability
Most dermatologists concentrate in the Wilmington metropolitan area and Newark corridor, leaving residents of Kent and Sussex counties with fewer local options. This geographic disparity often forces southern Delaware patients to travel north for specialized care or wait longer for appointments with limited local providers.
Facility Type and Overhead Costs
ChristianaCare and Bayhealth dominate Delaware's hospital systems, with their outpatient dermatology clinics typically charging facility fees on top of physician charges. Independent dermatology practices, more common in suburban areas, often offer lower overall costs without hospital overhead but may have less comprehensive support services.
Insurance Market Competition in Delaware
Highmark Blue Cross Blue Shield maintains the largest market share in Delaware, followed by Aetna and UnitedHealthcare, creating moderate competition among major insurers. This concentrated market allows insurers to negotiate competitive rates with providers, though the limited number of dermatologists can strengthen provider bargaining power in contract negotiations.
Physician Supply and Demand in Delaware
Delaware's 87 active Skin Biopsy providers serve a population of nearly one million residents, creating moderate availability compared to neighboring states. The state's position between major metropolitan areas like Philadelphia and Baltimore helps attract specialists, though rural areas still experience provider shortages that can extend wait times and maintain higher pricing.
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.
Frequently Asked Questions — Skin Biopsy Costs in Delaware
What is the average cost of a Skin Biopsy visit in Delaware without insurance?
Does Delaware Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Delaware?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Skin Biopsy visit in Delaware?
How does telemedicine affect the cost of seeing a Skin Biopsy in Delaware?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 11102)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Massachusetts Range: $62 – $387 | $200 |
| 2 | Rhode Island Range: $35 – $387 | $187 |
| 3 | New Hampshire Range: $103 – $251 | $182 |
| 4 | Connecticut Range: $47 – $387 | $181 |
| 5 | Wisconsin Range: $60 – $387 | $181 |
| 6 | New York Range: $49 – $387 | $179 |
| 7 | Pennsylvania Range: $34 – $387 | $173 |
| 8 | West Virginia Range: $34 – $387 | $171 |
| 9 | Delaware Range: $33 – $387 | $169 |
| 10 | Nebraska Range: $47 – $242 | $167 |
| 11 | Maine Range: $100 – $206 | $164 |
| 12 | Wyoming Range: $53 – $307 | $150 |
| 13 | Vermont Range: $73 – $249 | $149 |
| 14 | North Dakota Range: $42 – $300 | $146 |
| 15 | Minnesota Range: $33 – $310 | $144 |
| 16 | Iowa Range: $54 – $251 | $143 |
| 17 | Utah Range: $54 – $220 | $130 |
| 18 | District of Columbia Range: $34 – $250 | $127 |
| 19 | Oregon Range: $54 – $242 | $126 |
| 20 | South Dakota Range: $38 – $242 | $123 |
| 21 | New Mexico Range: $46 – $221 | $119 |
| 22 | Illinois Range: $37 – $230 | $118 |
| 23 | Washington Range: $52 – $220 | $118 |
| 24 | Georgia Range: $39 – $219 | $117 |
| 25 | Florida Range: $33 – $229 | $115 |
| 26 | Colorado Range: $43 – $221 | $115 |
| 27 | North Carolina Range: $39 – $209 | $114 |
| 28 | California Range: $80 – $171 | $112 |
| 29 | Indiana Range: $35 – $211 | $110 |
| 30 | Michigan Range: $38 – $201 | $110 |
| 31 | New Jersey Range: $21 – $230 | $108 |
| 32 | Hawaii Range: $37 – $200 | $107 |
| 33 | Texas Range: $34 – $194 | $105 |
| 34 | Maryland Range: $34 – $203 | $104 |
| 35 | South Carolina Range: $34 – $186 | $102 |
| 36 | Nevada Range: $72 – $145 | $101 |
| 37 | Virginia Range: $30 – $193 | $101 |
| 38 | Idaho Range: $47 – $175 | $101 |
| 39 | Oklahoma Range: $32 – $187 | $99 |
| 40 | Missouri Range: $36 – $136 | $94 |
| 41 | Ohio Range: $30 – $164 | $94 |
| 42 | Louisiana Range: $31 – $170 | $94 |
| 43 | Tennessee Range: $36 – $160 | $94 |
| 44 | Kentucky Range: $50 – $144 | $91 |
| 45 | Arkansas Range: $39 – $146 | $90 |
| 46 | Kansas Range: $36 – $140 | $90 |
| 47 | Montana Range: $80 – $108 | $89 |
| 48 | Alabama Range: $31 – $152 | $88 |
| 49 | Mississippi Range: $32 – $152 | $88 |
| 50 | Alaska Range: $80 – $95 | $85 |
| 51 | Arizona Range: $32 – $132 | $78 |