Cost of a Skin Biopsy Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural healthcare landscape creates unique challenges for accessing specialized care, with 44 of the state's 44 counties designated as medically underserved areas. Patients seeking a Skin Biopsy in Idaho typically pay between $47 and $175, with a median out-of-pocket cost of $80. The state maintains 247 active providers offering these services, giving patients options across urban centers like Boise and rural communities throughout the Gem State.
Average
$101
Median
$80
Lowest
$47
Highest
$175
Providers
247
19% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $51 | $80 | $202 | 226 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $95 | $289 | 218 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $85 | 330 |
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 Idaho
Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural economy. The Gem State's challenging geography creates significant access disparities, with most specialists concentrated in the Boise metropolitan area and Coeur d'Alene region.
Urban vs. Rural Provider Availability
Boise and surrounding Ada County contain the majority of Idaho's dermatologists, while rural counties like Lemhi and Clark may have no specialists within 100 miles. This geographic disparity forces many rural patients to travel significant distances for Skin Biopsy procedures, often increasing total costs when factoring in travel expenses. Telemedicine consultations are becoming more common for initial evaluations, though physical procedures still require in-person visits.
Facility Type and Overhead Costs
Hospital-owned specialty clinics affiliated with systems like Saint Alphonsus and Kootenai Health typically charge higher facility fees than independent dermatology practices. Idaho's rural hospitals often contract with visiting specialists who may have different pricing structures than permanent local providers. Independent practices in smaller cities like Twin Falls or Idaho Falls often offer more competitive pricing than their hospital-affiliated counterparts.
Insurance Market Competition in Idaho
Limited insurer competition in Idaho's rural markets gives dominant players like Regence BlueCross and PacificSource significant leverage in rate negotiations with providers. The state's relatively small population and geographic challenges create less competitive pressure compared to urban markets in neighboring states. This market concentration can result in higher negotiated rates for specialized services like dermatology procedures.
Physician Supply and Demand in Idaho
With 247 active Skin Biopsy providers serving Idaho's 1.9 million residents, the state maintains adequate specialist availability in urban areas but significant shortages in rural regions. This uneven distribution creates longer wait times and potentially higher costs in underserved areas where demand exceeds supply. Many providers supplement their income by serving multiple rural clinics on a rotating basis, which can affect scheduling flexibility and pricing.
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 Idaho
What is the average cost of a Skin Biopsy visit in Idaho without insurance?
Does Idaho Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a Skin Biopsy in Idaho?
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 |