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Georgia

Cost of a Skin Biopsy Visit
in Georgia

Reviewed by Momentary Medical Group West PC

Georgia's healthcare market operates with costs approximately 1% below national averages, creating relatively affordable options for patients seeking specialized dermatological procedures. Skin Biopsy procedures in Georgia typically range from $39 to $219 based on negotiated insurance rates, with a median cost of $93. The state maintains over 3,300 active providers offering these services across metropolitan Atlanta, Augusta, Columbus, and rural communities, giving patients substantial choice when selecting a specialist.

Average

$117

Median

$93

Lowest

$39

Highest

$219

Providers

3,344

National avg: $124Georgia: $117

6% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Georgia?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$45$85$2113,263
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$83$146$3973,461
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$5$903,706

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 Georgia

Georgia's healthcare costs run approximately 1% below national averages, reflecting the state's lower cost of living outside metropolitan Atlanta and moderate provider competition. The state's geographic spread from the Appalachian foothills to coastal plains creates distinct regional healthcare markets with varying price points.

Urban vs. Rural Provider Availability

Metropolitan Atlanta concentrates most of Georgia's dermatology specialists, while rural counties in southern and northwestern Georgia often lack local providers, forcing patients to travel significant distances. This geographic maldistribution creates higher effective costs for rural patients despite potentially lower base prices.

Facility Type and Overhead Costs

Hospital-owned dermatology practices in Georgia, particularly those affiliated with Emory Healthcare, Piedmont Healthcare, or Augusta University Health, typically charge facility fees that can double the total cost of a Skin Biopsy. Independent dermatology practices generally offer more competitive pricing without additional facility charges.

Insurance Market Competition in Georgia

Georgia's insurance market features moderate competition with Anthem Blue Cross Blue Shield, UnitedHealthcare, and Cigna holding dominant positions but still competing on provider networks and rates. This competitive dynamic helps keep Skin Biopsy costs reasonable compared to less competitive state markets.

Physician Supply and Demand in Georgia

With over 3,300 active providers offering Skin Biopsy services, Georgia maintains adequate specialist supply in urban areas but faces shortages in rural regions. This supply imbalance means Atlanta-area patients enjoy competitive pricing and short wait times, while rural patients may face higher costs and longer delays.

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 Georgia

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

Uninsured patients in Georgia can expect to pay between $39 and $219 for a Skin Biopsy procedure, with a median cost around $93 based on negotiated insurance rates. However, many providers offer self-pay discounts of 10-30% for upfront payment, potentially reducing your out-of-pocket cost below these amounts.

Does Georgia Medicaid cover Skin Biopsy visits?

Georgia Medicaid covers medically necessary Skin Biopsy procedures for eligible beneficiaries when prescribed by a healthcare provider. However, Georgia has not expanded Medicaid under the Affordable Care Act, so adults earning above 44% of the federal poverty level typically don't qualify unless they have dependent children or disabilities.

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

Compare costs between independent dermatology practices and hospital-owned clinics, as independents often charge 20-40% less without facility fees. Consider providers outside metro Atlanta if you're willing to travel, ask about self-pay discounts, and check community health centers in your area that may offer sliding-scale fees based on income.

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

Based on insurance negotiated rates in Georgia, Skin Biopsy procedures typically cost between $39-$219 regardless of whether it's performed during an initial consultation or follow-up visit. The biopsy procedure itself carries the same cost, though you may also incur separate charges for the office visit evaluation.

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

Yes, Skin Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for the procedure, related office visits, and any pathology lab fees, potentially saving 20-30% compared to paying with after-tax income.

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

While telemedicine can't replace the physical Skin Biopsy procedure, many Georgia dermatologists offer virtual consultations for initial evaluation and biopsy result discussions at lower costs than in-person visits. Telehealth consultations typically cost $75-150, helping you avoid unnecessary office visits before and after your biopsy procedure.

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