Cost of a Skin Biopsy Visit
in Hawaii
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
84
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.
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.
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 Hawaii
What is the average cost of a Skin Biopsy visit in Hawaii without insurance?
Does Hawaii Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Hawaii?
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 Hawaii?
How does telemedicine affect the cost of seeing a Skin Biopsy in Hawaii?
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 |