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Florida

Cost of a Skin Biopsy Visit
in Florida

Reviewed by Momentary Medical Group West PC

Florida's extensive network of dermatology and pathology services, bolstered by the state's position as the largest ambulatory surgery center market in the US, provides patients with numerous options for Skin Biopsy procedures. Based on negotiated insurance rates, patients typically face out-of-pocket costs ranging from $32.66 to $228.52, with a median cost of $85.00 across Florida's 3,597 active providers. Florida residents can browse all available Skin Biopsy specialists throughout the state to find the most cost-effective option for their specific needs.

Average

$115

Median

$85

Lowest

$33

Highest

$229

Providers

3,597

National avg: $124Florida: $115

7% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$35$55$1095,511
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$35$55$1875,397
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$40$735,980

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 Florida

Florida's healthcare costs run approximately 2% above the national average, reflecting the state's robust medical tourism industry and high concentration of retirees requiring specialized care. The state's position as the largest ambulatory surgery center market in the US creates competitive dynamics that can help moderate procedure costs while maintaining quality.

Urban vs. Rural Provider Availability

Florida's dermatology specialists concentrate heavily in metropolitan areas like Miami-Dade, Broward, Orange, and Hillsborough counties, creating cost premiums in these markets. Rural areas including the Panhandle, Central Florida, and parts of Southwest Florida face provider shortages that can drive up costs and extend wait times. The stark urban-rural divide means patients in smaller communities may need to travel significant distances for specialized Skin Biopsy services.

Facility Type and Overhead Costs

Hospital-owned dermatology practices in Florida often charge facility fees in addition to physician fees, particularly those affiliated with major health systems like Baptist Health, AdventHealth, or Jackson Health System. Independent dermatology practices typically offer more transparent, all-inclusive pricing without separate facility charges. The state's numerous ambulatory surgery centers provide a middle-ground option with lower overhead than hospitals but more comprehensive services than basic office settings.

Insurance Market Competition in Florida

Florida's insurance market features moderate competition with UnitedHealthcare, Blue Cross Blue Shield of Florida, and Aetna holding dominant positions, creating relatively standardized negotiated rates across the state. The absence of a state-based insurance exchange and limited Medicaid expansion constrains market dynamics compared to other large states. Regional insurers like Florida Blue maintain strong provider networks that can offer competitive rates for dermatology services.

Physician Supply and Demand in Florida

With 3,597 active providers performing Skin Biopsy procedures, Florida maintains adequate specialist availability relative to its population, though distribution favors metropolitan areas. This provider density helps contain costs in urban markets while creating access challenges in rural regions. The state's appeal to practicing physicians due to favorable tax policies and weather helps maintain steady recruitment, though retirement-heavy demographics drive high demand for dermatologic services.

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 Florida

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

Without insurance coverage, Skin Biopsy procedures in Florida typically cost between $32.66 and $228.52, with a median price of $85.00 based on actual negotiated rates. The final cost depends on the specific type of biopsy performed, the facility type, and geographic location within the state. Many providers offer self-pay discounts of 10-30% for patients paying at the time of service, potentially reducing these costs further.

Does Florida Medicaid cover Skin Biopsy visits?

Traditional Florida Medicaid covers medically necessary Skin Biopsy procedures for eligible beneficiaries, though provider participation can be limited due to lower reimbursement rates. However, Florida chose not to expand Medicaid under the Affordable Care Act, leaving many low-income adults without coverage for specialist dermatology services. Eligible populations include children, pregnant women, disabled individuals, and adults meeting strict income and asset requirements.

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

Compare costs across different facility types, as independent dermatology practices often charge less than hospital-owned clinics that may add facility fees. Ask providers about self-pay discounts, payment plans, or sliding fee scales, particularly at community health centers throughout Florida. Consider federally qualified health centers (FQHCs) which offer services on a sliding scale based on income, and verify that any specialist is in-network with your insurance to avoid surprise bills.

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. While specific consultation costs weren't provided in our data, the biopsy procedure itself (CPT 11102) ranges from $32.66 to $228.52 with a median of $85.00. Follow-up visits to discuss pathology results or wound care are generally less expensive, often involving standard office visit charges rather than procedure fees.

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

Yes, Skin Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these pre-tax dollars to pay for the procedure, associated pathology fees, and any required follow-up care. Keep all receipts and documentation from your dermatology provider, as these may be needed for FSA or HSA reimbursement claims.

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

While the actual biopsy procedure must be performed in person, initial consultations via telemedicine typically cost 20-40% less than in-office visits. Many Florida dermatologists offer virtual consultations to evaluate skin concerns using high-quality photos, potentially saving patients time and money for initial assessments. However, suspicious lesions identified during telemedicine visits will still require in-person evaluation and possible biopsy, so virtual visits may add to rather than replace traditional care costs.

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