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
32% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $75 | $112 | $128 | 1,553 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $126 | $220 | $254 | 1,552 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $5 | $5 | 1,753 |
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 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 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.
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 Maine
What is the average cost of a Skin Biopsy visit in Maine without insurance?
Does Maine Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Maine?
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 Maine?
How does telemedicine affect the cost of seeing a Skin Biopsy in Maine?
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 |
