Cost of a Skin Biopsy Visit
in Illinois
Reviewed by Momentary Medical Group West PC
Illinois has one of the nation's most concentrated specialist markets, with over 60% of physicians practicing in the Chicago metropolitan area. Skin Biopsy visits in Illinois typically cost patients between $37 and $230, with a median out-of-pocket expense of $89 based on actual insurance negotiated rates. The state's 7,576 active Skin Biopsy providers create competitive pricing in urban centers while rural patients may face higher costs and longer travel distances.
Average
$118
Median
$89
Lowest
$37
Highest
$230
Providers
7,576
5% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Illinois?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $50 | $83 | $191 | 7,374 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $151 | $459 | 9,075 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $16 | $85 | 17,821 |
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 Illinois
Illinois healthcare costs run approximately 10% above the national average, driven largely by Chicago's high real estate and labor costs that affect medical practice overhead. The state's distinctive geography creates a stark divide between the resource-rich Chicago metropolitan area and rural counties with limited specialist access.
Urban vs. Rural Provider Availability
Chicago and its suburbs contain nearly two-thirds of Illinois's dermatologists, creating intense competition that helps moderate prices in urban areas. Rural counties in southern and central Illinois often have no resident dermatologists, forcing patients to travel 50+ miles for specialist care and potentially pay higher costs due to limited options.
Facility Type and Overhead Costs
Major health systems like Northwestern Medicine, Rush, and University of Chicago Medicine operate numerous hospital-based dermatology clinics that typically charge facility fees in addition to physician costs. Independent dermatology practices remain common throughout Illinois and generally offer lower total costs without sacrificing quality of care.
Insurance Market Competition in Illinois
The dominance of Blue Cross Blue Shield of Illinois, UnitedHealthcare, and Aetna creates moderate insurer competition that keeps negotiated rates reasonable compared to single-payer dominated states. Rural areas may have fewer insurance options, potentially leading to higher out-of-network costs when local providers don't contract with all major insurers.
Physician Supply and Demand in Illinois
With 7,576 active dermatology providers, Illinois has adequate specialist coverage in urban areas but significant shortages in rural regions. This geographic maldistribution means Chicago patients benefit from competitive pricing and short wait times, while downstate residents may face higher costs and longer delays for non-urgent procedures.
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 Illinois
What is the average cost of a Skin Biopsy visit in Illinois without insurance?
Does Illinois Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Illinois?
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 Illinois?
How does telemedicine affect the cost of seeing a Skin Biopsy in Illinois?
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 |