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Maryland

Cost of a Skin Biopsy Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's regulated healthcare market, where the state sets hospital rates through the Health Services Cost Review Commission, creates unique pricing dynamics for specialty care. Skin Biopsy visits in Maryland typically range from $33.50 to $203.04, with a median cost of $75.51 based on insurer-negotiated rates. With over 4,000 active Skin Biopsy providers across the state, patients have extensive options from Baltimore's academic medical centers to community practices in rural counties.

Average

$104

Median

$76

Lowest

$34

Highest

$203

Providers

4,018

National avg: $124Maryland: $104

16% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Maryland?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$39$60$1674,102
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$71$109$2544,075
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$1$1$64,146

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 Maryland

Maryland's healthcare costs run approximately 13% above the national average, reflecting the state's affluent demographics and concentration of academic medical centers. The Health Services Cost Review Commission's hospital rate-setting creates unusual pricing transparency compared to other states, though this regulation doesn't extend to physician fees.

Urban vs. Rural Provider Availability

The Baltimore-Washington corridor concentrates most of Maryland's dermatology specialists, creating access challenges for residents of the Eastern Shore, Western Maryland mountains, and Southern Maryland counties. Rural patients often face longer wait times and may need to travel 60+ miles for specialized skin cancer screening or complex dermatological procedures.

Facility Type and Overhead Costs

Hospital-owned dermatology practices affiliated with Johns Hopkins, University of Maryland, and MedStar Health typically charge higher rates due to facility fees and academic medical center overhead. Independent dermatology groups in suburban areas like Montgomery County and Anne Arundel County often provide more competitive pricing while maintaining high-quality care.

Insurance Market Competition in Maryland

CareFirst BlueCross BlueShield's dominant market position in Maryland, particularly in the individual and small group markets, gives them significant negotiating power with providers. Competition from UnitedHealthcare and Aetna helps moderate rates in employer-sponsored plans, while the state's active insurance exchange provides additional options for individual buyers.

Physician Supply and Demand in Maryland

With over 4,000 active skin biopsy providers, Maryland has relatively strong dermatology access compared to many states, though distribution heavily favors urban areas. The presence of major medical schools and residency programs helps maintain physician supply, keeping wait times reasonable in metro areas while rural regions still face provider shortages.

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 Maryland

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

Without insurance, skin biopsy visits in Maryland typically range from $33.50 to $203.04, with a median cost of $75.51 based on negotiated rates between insurers and providers. Self-pay patients often receive discounts of 20-40% from list prices, and many dermatology practices offer payment plans to make care more affordable. The final cost depends on the complexity of the biopsy, number of specimens taken, and whether additional procedures are performed during the same visit.

Does Maryland Medicaid cover Skin Biopsy visits?

Yes, Maryland's expanded Medicaid program covers medically necessary dermatology visits and skin biopsies when ordered by a physician. Coverage includes diagnostic procedures for suspicious lesions, chronic skin conditions, and follow-up care after biopsy results. However, Medicaid patients may face longer wait times due to limited dermatologist participation in the program, and some specialists may require referrals from primary care providers.

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

Compare costs between hospital-affiliated practices and independent dermatology clinics, as the latter often charge less for routine procedures. Ask about self-pay discounts if you're uninsured, and consider community health centers in areas like Baltimore City and Prince George's County that offer sliding scale fees. Federally Qualified Health Centers throughout Maryland provide dermatology services at reduced rates based on income and family size.

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

Initial dermatology consultations typically cost more than follow-up visits due to the comprehensive evaluation required for new patients. New patient visits involve detailed medical history, full skin examination, and treatment planning, while established patient follow-ups focus on specific concerns or treatment monitoring. The exact cost difference varies by provider, but new patient visits can cost 50-75% more than routine follow-up appointments in Maryland.

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

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for medically necessary skin biopsies and dermatology visits in Maryland. These accounts cover diagnostic procedures, consultations, and follow-up care related to skin conditions. Keep receipts for tax purposes, and note that cosmetic dermatology procedures typically don't qualify unless they address a medical condition diagnosed by your physician.

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

Telemedicine consultations for dermatology typically cost 30-50% less than in-person visits and are well-suited for initial evaluations of skin concerns or follow-up care after procedures. However, actual skin biopsies require in-person visits since tissue samples must be physically obtained. Maryland expanded telehealth coverage during the pandemic, and many insurers now cover virtual dermatology consultations at the same rate as office visits, making them a cost-effective option for initial screenings.

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