Hawaii

Cost of a Skin Biopsy Visit
in Hawaii

Name: Skin Biopsy Cost in Hawaii (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Hawaii's unique island healthcare market and limited provider network drive Skin Biopsy costs approximately 16% above national averages, reflecting the challenges of delivering specialized care across the Pacific archipelago. Patients typically pay between $36.85 and $199.84 for a Skin Biopsy procedure, with a median cost of $85.00 based on actual negotiated rates from 84 active providers across the islands. Browse all Skin Biopsy specialists in Hawaii to compare costs and check your insurance coverage before booking your appointment.

Average

$107

Median

$85

Lowest

$37

Highest

$200

Providers

National avg: $124Hawaii: $107

14% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Hawaii?

Procedure	CPT	Low	Median	High	Providers
Joint Injection Injection into a major joint or bursa	20610	$52	$85	$487	94
Abscess Drainage (I&D) Incision and drainage of abscess, simple	10060	$80	$110	$308	98
Blood Draw (Venipuncture) Routine venipuncture for blood sample	36415	$3	$3	$85	191

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.

Full data methodology and glossary

Why Skin Biopsy Visit Costs Vary Across Hawaii

Hawaii's isolated island geography creates unique cost pressures for Skin Biopsy procedures, with prices running approximately 16% above national averages due to limited competition and high overhead costs. The state's very limited, island-based market constrains both provider supply and price competition compared to mainland healthcare systems.

Urban vs. Rural Provider Availability

Most dermatologists concentrate in urban Honolulu, creating significant access and cost disparities for residents of neighbor islands like Kauai, Molokai, and the Big Island's rural areas. Patients from outer islands often must travel to Oahu for specialized Skin Biopsy procedures, adding substantial travel and accommodation costs. Limited inter-island specialist availability drives up pricing power for established urban practices.

Facility Type and Overhead Costs

Hospital-based dermatology clinics at major systems like Queen's Medical Center and Kaiser Permanente typically charge higher facility fees than independent practices. Hawaii's high real estate costs and utility expenses significantly impact overhead for all medical facilities, particularly affecting smaller dermatology practices. Many providers pass these elevated operating costs directly to patients through higher procedure fees.

Insurance Market Competition in Hawaii

The concentrated insurance market featuring HMSA, UnitedHealthcare, and Kaiser limits negotiating leverage for healthcare providers, though this doesn't necessarily translate to lower patient costs. HMSA's dominant market position as the local Blue Cross affiliate gives it significant influence over negotiated rates with dermatology practices. Limited insurer competition reduces pricing pressure that might otherwise benefit consumers in larger mainland markets.

Physician Supply and Demand in Hawaii

With 84 active Skin Biopsy providers serving the entire state population, Hawaii faces moderate specialist density that varies dramatically between islands. The limited pipeline of new dermatologists willing to practice in Hawaii's remote location maintains pricing power for existing providers. Recruitment challenges related to Hawaii's high cost of living and geographic isolation contribute to sustained upward pressure on procedure costs.

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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 Hawaii

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

Uninsured patients in Hawaii typically pay between $36.85 and $199.84 for a Skin Biopsy procedure, with a median cost of $85.00 based on actual negotiated rates. These prices reflect what insurers pay providers and may not include additional pathology fees for tissue analysis. Many dermatology practices offer self-pay discounts of 20-40% for patients paying at the time of service, potentially reducing your out-of-pocket expense below insurance rates.

Does Hawaii Medicaid cover Skin Biopsy visits?

Yes, Hawaii's expanded Medicaid program covers medically necessary Skin Biopsy procedures when performed by participating providers. Coverage includes both the biopsy procedure and pathology analysis when cancer or other serious conditions are suspected. However, finding Medicaid-accepting dermatologists can be challenging, particularly on neighbor islands, and you may face longer wait times due to limited participating specialists.

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

Compare prices across different facility types, as independent dermatology practices often charge less than hospital-based clinics for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers which may offer sliding fee scales. Some practices on neighbor islands offer competitive pricing to attract patients who might otherwise travel to Oahu for care.

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

Initial Skin Biopsy consultations typically involve more comprehensive evaluation and higher costs, while follow-up visits for biopsy results or additional treatment are generally less expensive. The biopsy procedure itself (ranging from $36.85 to $199.84 in Hawaii) represents a separate charge from the consultation fee. Follow-up visits may only involve brief wound checks or result discussions, resulting in lower facility and physician fees.

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

Yes, Skin Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds for the consultation, biopsy procedure, pathology analysis, and any related follow-up care. Keep all receipts and documentation, as you may need to provide proof that the biopsy was medically necessary rather than cosmetic.

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

While telemedicine consultations cost less than in-person visits, actual Skin Biopsy procedures must be performed in person by a qualified dermatologist. Telehealth can be valuable for initial screening, follow-up discussions of biopsy results, or determining whether an in-person biopsy is necessary. Hawaii's geographic challenges make telemedicine particularly useful for neighbor island residents seeking initial dermatology consultations before traveling to urban centers for procedures.

Click a state to compare costs

Average Visit Cost

$78