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Missouri

Cost of a Skin Biopsy Visit
in Missouri

Reviewed by Momentary Medical Group West PC

Missouri's healthcare market operates with costs approximately 5% below the national average, creating more accessible specialty care options across the state. Skin Biopsy patients typically pay between $36 and $136, with a median out-of-pocket cost of $110 based on negotiated insurance rates. With over 5,300 active Skin Biopsy providers throughout Missouri, patients have substantial choice when selecting care that fits their budget and location preferences.

Average

$94

Median

$110

Lowest

$36

Highest

$136

Providers

5,334

National avg: $124Missouri: $94

24% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Missouri?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$43$86$1015,522
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$81$134$1785,522
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$3$235,682

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 Missouri

Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and moderate provider competition. The state's mix of major metropolitan areas and extensive rural territories creates distinct pricing patterns based on local market dynamics and provider availability.

Urban vs. Rural Provider Availability

St. Louis and Kansas City metro areas concentrate most dermatology specialists, creating competitive pricing and shorter wait times for patients. Rural Missouri residents often travel significant distances for specialized care, though some providers offer reduced rates to accommodate the additional travel burden patients face.

Facility Type and Overhead Costs

Hospital-owned dermatology practices in Missouri typically charge 20-30% more than independent providers due to higher facility fees and administrative costs. Major health systems like BJC HealthCare and Saint Luke's Health System influence pricing patterns in their respective markets through their negotiated insurance rates.

Insurance Market Competition in Missouri

Anthem, UHC, and Cigna maintain strong presences across Missouri, creating moderate competition that helps control negotiated rates for specialty services. The state's insurance market offers reasonable choice for consumers, though rural areas may have fewer plan options than urban centers like Columbia or Springfield.

Physician Supply and Demand in Missouri

With over 5,300 active providers handling skin biopsies, Missouri maintains adequate specialist availability relative to its population. This healthy provider-to-patient ratio helps moderate pricing and reduces wait times, particularly in metropolitan areas where multiple practices compete for patients.

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 Missouri

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

Self-pay patients in Missouri typically pay between $36 and $136 for a skin biopsy procedure, with a median cost of $110 based on negotiated insurance rates. These prices reflect what insurance companies have agreed to pay providers, so cash-pay patients may find similar rates or potentially receive discounts for immediate payment.

Does Missouri Medicaid cover Skin Biopsy visits?

Missouri Medicaid covers medically necessary skin biopsies for eligible recipients, including diagnostic procedures recommended by healthcare providers. However, Missouri has not expanded Medicaid, so adult eligibility remains limited to very low income levels, primarily covering children, pregnant women, elderly, and disabled individuals.

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

Compare costs across different provider types, as independent dermatology practices often charge less than hospital-owned clinics in Missouri. Ask about self-pay discounts, which can reduce costs by 20-40%, and consider community health centers that offer sliding-scale fees based on income for qualifying patients.

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 comprehensive evaluations and documentation requirements. The actual biopsy procedure, coded as CPT 11102, costs between $36 and $136 in Missouri, while consultation fees vary separately depending on the complexity and time involved in your specific case.

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

Yes, skin biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for the procedure, associated consultation fees, and any required pathology analysis costs.

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

Telemedicine consultations in Missouri typically cost $50-150 less than in-person visits and can help determine if a biopsy is necessary before scheduling an office procedure. However, the actual biopsy must be performed in person, so telehealth serves best as a preliminary screening tool or for follow-up results discussions.

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