Cost of a Skin Biopsy Visit
in Kentucky
Reviewed by Momentary Medical Group West PC
Kentucky's healthcare landscape benefits from Medicaid expansion and competitive insurer markets, creating more accessible specialty care options across the Commonwealth. For Skin Biopsy procedures, patients typically pay between $50.31 and $143.67, with a median out-of-pocket cost of $80.0 based on negotiated insurance rates. With over 1,067 active providers offering skin biopsy services throughout Kentucky, patients have substantial options when browsing all providers in Kentucky.
Average
$91
Median
$80
Lowest
$50
Highest
$144
Providers
1,067
27% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Kentucky?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $48 | $86 | $209 | 492 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $112 | $308 | 271 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $21 | $85 | 1,196 |
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 Kentucky
Kentucky's healthcare costs run approximately 18% below national averages, reflecting the state's lower cost of living and competitive insurance market dynamics. The Commonwealth's mix of urban medical centers in Louisville and Lexington alongside rural healthcare challenges creates distinct pricing patterns across different regions.
Urban vs. Rural Provider Availability
Louisville and Lexington concentrate most of Kentucky's dermatologists, creating competitive pricing in these metro areas while rural counties face significant specialist shortages. Eastern Kentucky's Appalachian regions often require patients to travel 2-3 hours for dermatology care, limiting price competition. Telehealth initiatives have expanded access but cannot replace hands-on biopsy procedures.
Facility Type and Overhead Costs
Hospital-affiliated dermatology clinics at UK HealthCare and UofL Health typically charge higher facility fees compared to independent practices throughout Kentucky. Academic medical centers often bundle teaching and research costs into their pricing structures. Standalone dermatology offices generally offer more competitive cash-pay rates and flexible payment options.
Insurance Market Competition in Kentucky
Anthem holds significant market share in Kentucky, competing with UHC and Humana across most counties for commercial coverage. This three-way competition helps maintain negotiated rates below national averages for specialty procedures like skin biopsies. Rural counties may have fewer insurer options, potentially affecting provider network size and negotiated rates.
Physician Supply and Demand in Kentucky
With 1,067 providers offering skin biopsy services statewide, Kentucky maintains adequate specialist availability in urban areas but faces shortages in rural regions. The concentration of providers in Jefferson and Fayette counties creates competitive pricing there while supply constraints in eastern Kentucky can drive up costs. Wait times for non-urgent biopsies average 2-3 weeks in metro areas versus 6-8 weeks in underserved rural counties.
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 Kentucky
What is the average cost of a Skin Biopsy visit in Kentucky without insurance?
Does Kentucky Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Kentucky?
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 Kentucky?
How does telemedicine affect the cost of seeing a Skin Biopsy in Kentucky?
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 |