Cost of a Skin Biopsy Visit
in District of Columbia
Reviewed by Momentary Medical Group West PC
District of Columbia leads the nation in healthcare spending per capita at over $12,000 annually, creating a unique cost environment for specialty care including Skin Biopsy services. Based on negotiated insurance rates, patients typically pay between $34 and $250 for a skin biopsy procedure, with a median cost of $97. With 337 active dermatology and pathology providers across the District, patients have access to numerous specialists offering skin biopsy services throughout the region.
Average
$127
Median
$97
Lowest
$34
Highest
$250
Providers
337
2% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in District of Columbia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $40 | $88 | $221 | 364 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $76 | $162 | $346 | 360 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $4 | $80 | 379 |
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 District of Columbia
Healthcare costs in District of Columbia run approximately 20% above the national average, driven by high real estate costs, elevated physician salaries, and a concentration of academic medical centers. The District's small geographic area creates a unique market where patients have access to numerous specialists within a compact region.
Urban vs. Rural Provider Availability
District of Columbia's entirely urban geography concentrates dermatology providers in key corridors like Dupont Circle, Georgetown, and Capitol Hill areas. This urban density creates competition among providers but also drives up overhead costs due to premium commercial real estate prices in the nation's capital.
Facility Type and Overhead Costs
Hospital-based dermatology clinics affiliated with George Washington University Hospital, MedStar Georgetown, and Children's National Hospital typically charge higher facility fees than independent practices. Academic medical centers command premium rates due to their teaching hospital status and specialized equipment capabilities.
Insurance Market Competition in District of Columbia
The District's insurance market is relatively concentrated with CareFirst BlueCross BlueShield holding significant market share alongside United Healthcare and Aetna. This concentration can limit negotiating power for providers but creates consistent coverage patterns and established referral networks across the region.
Physician Supply and Demand in District of Columbia
With 337 active providers offering skin biopsy services, District of Columbia has one of the highest per-capita concentrations of dermatology specialists in the nation. This robust supply helps moderate pricing pressures and typically results in shorter wait times for appointments compared to rural areas.
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 District of Columbia
What is the average cost of a Skin Biopsy visit in District of Columbia without insurance?
Does District of Columbia Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in District of Columbia?
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 District of Columbia?
How does telemedicine affect the cost of seeing a Skin Biopsy in District of Columbia?
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 |