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Maine

Cost of a Skin Biopsy Visit
in Maine

Reviewed by Momentary Medical Group West PC

Maine's rural healthcare landscape and limited specialist concentration in Portland and Bangor create significant cost variations for medical procedures across the state. Skin Biopsy visits typically range from moderate to higher costs due to Maine's position roughly 12% above national healthcare averages, with many active providers serving the state's dispersed population. Patients can browse all available Skin Biopsy providers throughout Maine to find the most suitable and affordable option for their needs.

Average

$164

Median

$186

Lowest

$100

Highest

$206

Providers

1,552

National avg: $124Maine: $164

32% above national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Maine?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$75$112$1281,553
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$126$220$2541,552
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$5$51,753

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 11102Tangential 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 Maine

Maine's healthcare costs run approximately 12% above national averages, driven by the state's rural geography and concentrated provider networks in Portland and Bangor. The Pine Tree State's aging population and seasonal influx of visitors create unique demand patterns that influence specialist pricing.

Urban vs. Rural Provider Availability

Portland and Bangor concentrate most of Maine's dermatology specialists, creating access challenges for patients in Aroostook County and other rural regions. Patients in remote areas often face higher total costs due to travel expenses and limited local options. The state's geography means some residents drive over two hours to reach the nearest dermatologist.

Facility Type and Overhead Costs

Maine Medical Center and Northern Light Health system facilities typically charge higher rates than independent dermatology practices due to hospital overhead costs. Academic medical centers in Portland may have additional teaching facility fees built into their pricing structure. Independent practices often offer more competitive rates but may have limited evening or weekend availability.

Insurance Market Competition in Maine

The state's insurance market concentration among Anthem, Harvard Pilgrim, and UHC creates relatively stable negotiated rates but limits competitive pricing pressure. Rural areas have fewer insurer options, potentially leading to higher out-of-network costs when traveling for care. The limited competition can result in higher premiums but more predictable provider networks.

Physician Supply and Demand in Maine

Maine has fewer dermatologists per capita than most states, creating longer wait times and supporting higher pricing in some markets. The specialist shortage is most acute in rural counties, where patients may wait months for non-urgent appointments. Limited supply allows established practices to maintain premium pricing, particularly for cosmetic and elective procedures.

JP

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 Maine

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

Without insurance, skin biopsy procedures in Maine typically cost between $99 and $206 based on negotiated rate data from major insurers. The median cost is around $186 for the biopsy procedure itself. Additional fees for consultation, pathology analysis, and follow-up visits can increase total costs significantly for uninsured patients.

Does Maine Medicaid cover Skin Biopsy visits?

Yes, MaineCare covers medically necessary skin biopsies when performed by enrolled providers. Maine expanded Medicaid in 2019, broadening access to specialist care including dermatology services. Patients typically have minimal copays, and prior authorization may be required for certain procedures depending on the clinical indication.

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

Compare costs between independent dermatology practices and hospital-based clinics, as independent practices often charge less. Ask about self-pay discounts if you're uninsured, and consider community health centers that may offer sliding-scale fees. Some providers offer payment plans to help manage costs over time.

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

Initial consultations typically cost more than follow-up visits due to the comprehensive evaluation required. New patient visits involve detailed medical history and examination, while established patient visits focus on specific concerns. The actual biopsy procedure cost of $99-$206 may be additional to the consultation fee depending on the provider's billing structure.

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

Yes, skin biopsies are qualified medical expenses that can be paid for using HSA or FSA funds. Both the consultation and procedure costs are eligible, as are related expenses like pathology fees. Keep all receipts and documentation for your records, as some HSA administrators may require additional information for reimbursement.

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

Telemedicine consultations typically cost less than in-person visits and can be useful for initial screening or follow-up care. However, actual skin biopsies require in-person procedures, so telehealth mainly helps with consultation and triage. Maine's rural geography makes telemedicine particularly valuable for reducing travel costs and time for initial evaluations.

Click a state to compare costs

Average Visit Cost

$78
$200

Office visit (CPT 11102)

Compare With Other States

RankStateAverage
1Massachusetts
Range: $62$387
$200
2Rhode Island
Range: $35$387
$187
3New Hampshire
Range: $103$251
$182
4Connecticut
Range: $47$387
$181
5Wisconsin
Range: $60$387
$181
6New York
Range: $49$387
$179
7Pennsylvania
Range: $34$387
$173
8West Virginia
Range: $34$387
$171
9Delaware
Range: $33$387
$169
10Nebraska
Range: $47$242
$167
11Maine
Range: $100$206
$164
12Wyoming
Range: $53$307
$150
13Vermont
Range: $73$249
$149
14North Dakota
Range: $42$300
$146
15Minnesota
Range: $33$310
$144
16Iowa
Range: $54$251
$143
17Utah
Range: $54$220
$130
18District of Columbia
Range: $34$250
$127
19Oregon
Range: $54$242
$126
20South Dakota
Range: $38$242
$123
21New Mexico
Range: $46$221
$119
22Illinois
Range: $37$230
$118
23Washington
Range: $52$220
$118
24Georgia
Range: $39$219
$117
25Florida
Range: $33$229
$115
26Colorado
Range: $43$221
$115
27North Carolina
Range: $39$209
$114
28California
Range: $80$171
$112
29Indiana
Range: $35$211
$110
30Michigan
Range: $38$201
$110
31New Jersey
Range: $21$230
$108
32Hawaii
Range: $37$200
$107
33Texas
Range: $34$194
$105
34Maryland
Range: $34$203
$104
35South Carolina
Range: $34$186
$102
36Nevada
Range: $72$145
$101
37Virginia
Range: $30$193
$101
38Idaho
Range: $47$175
$101
39Oklahoma
Range: $32$187
$99
40Missouri
Range: $36$136
$94
41Ohio
Range: $30$164
$94
42Louisiana
Range: $31$170
$94
43Tennessee
Range: $36$160
$94
44Kentucky
Range: $50$144
$91
45Arkansas
Range: $39$146
$90
46Kansas
Range: $36$140
$90
47Montana
Range: $80$108
$89
48Alabama
Range: $31$152
$88
49Mississippi
Range: $32$152
$88
50Alaska
Range: $80$95
$85
51Arizona
Range: $32$132
$78
Skin Biopsy in Other States