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Michigan

Cost of a Skin Biopsy Visit
in Michigan

Reviewed by Momentary Medical Group West PC

Michigan's healthcare landscape features over 1,900 active Skin Biopsy providers across the state, creating competitive pricing for patients seeking diagnostic services. Skin Biopsy visits in Michigan typically cost between $38 and $201, with a median price of $92 based on negotiated insurance rates. Michigan residents benefit from costs running approximately 3% below national averages, and patients can browse all available providers throughout the state to find the most affordable options.

Average

$110

Median

$92

Lowest

$38

Highest

$201

Providers

1,955

National avg: $124Michigan: $110

11% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Michigan?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$45$80$2542,562
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$80$104$4642,466
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$1$3$852,640

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 Michigan

Michigan's healthcare costs run approximately 3% below national averages, reflecting the state's balanced mix of urban medical centers and rural practices. The Great Lakes state's diverse geography creates distinct cost patterns between metropolitan Detroit-Ann Arbor and Michigan's expansive rural Upper Peninsula regions.

Urban vs. Rural Provider Availability

Metro Detroit and Grand Rapids concentrate most of Michigan's dermatology specialists, creating competitive pricing in these areas while rural counties may have limited options. Upper Peninsula residents often face higher costs due to provider scarcity and the need to travel significant distances for specialized care.

Facility Type and Overhead Costs

Michigan's healthcare landscape includes major systems like Henry Ford Health and Spectrum Health that operate hospital-based dermatology clinics with higher overhead costs. Independent dermatology practices throughout the state typically offer lower facility fees but may have less comprehensive pathology services on-site.

Insurance Market Competition in Michigan

Blue Cross Blue Shield of Michigan maintains significant market share alongside UnitedHealthcare and Aetna, creating moderate insurer competition that benefits consumers. This competitive environment has helped Michigan achieve negotiated rates for skin biopsies that remain below national benchmarks across most provider types.

Physician Supply and Demand in Michigan

With over 1,900 active Skin Biopsy providers statewide, Michigan maintains adequate specialist availability relative to its population of 10 million residents. This healthy supply-demand balance contributes to reasonable pricing and shorter wait times compared to states with significant dermatologist 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 Michigan

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

Without insurance, skin biopsy visits in Michigan typically range from $38 to $201, with a median cost of $92 based on negotiated insurance rates. Self-pay patients may face higher list prices, but many Michigan providers offer cash-pay discounts that can bring costs closer to these insured rates. The final amount depends on the type of biopsy performed and whether it's done in a hospital-based clinic or independent dermatology office.

Does Michigan Medicaid cover Skin Biopsy visits?

Yes, Michigan Medicaid covers medically necessary skin biopsy visits as the state expanded Medicaid under the Healthy Michigan Plan. Coverage includes both the dermatologist consultation and the biopsy procedure itself, though you'll need to see providers who accept Medicaid patients. Prior authorization may be required for certain types of biopsies, and you may have small copayments depending on your income level.

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

Compare costs across Michigan's 1,900+ providers by checking both independent dermatology practices and hospital-based clinics in your area. Many providers offer self-pay discounts for uninsured patients, and community health centers throughout Michigan provide sliding scale fees based on income. Consider telehealth consultations first to determine if an in-person biopsy is necessary, as this can save both time and money.

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

Initial dermatology consultations for skin concerns typically cost more than follow-up visits due to the comprehensive evaluation required. The actual biopsy procedure, coded as CPT 11102, ranges from $38 to $201 in Michigan with a median of $92. Follow-up visits to discuss pathology results are usually shorter appointments with lower fees, though the total episode of care includes both the consultation and procedural costs.

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

Yes, skin biopsy visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the dermatologist consultation, the biopsy procedure itself, and any related pathology lab fees. Using pre-tax HSA or FSA funds can provide significant savings, especially for Michigan residents in higher tax brackets.

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

Telemedicine consultations in Michigan typically cost $50-150 and can help determine if an in-person biopsy is necessary before you spend money on a full dermatology visit. While the actual biopsy must be performed in person, many Michigan dermatologists offer virtual follow-up appointments to discuss pathology results at lower cost than office visits. Michigan insurance plans generally cover telehealth visits at the same rate as in-person consultations.

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