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Nebraska

Cost of a Skin Biopsy Visit
in Nebraska

Reviewed by Momentary Medical Group West PC

Nebraska's healthcare system serves a predominantly rural population across 93 counties, with dermatology services concentrated in metropolitan areas like Omaha and Lincoln. Skin Biopsy visits in Nebraska typically cost between $47 and $242, with a median rate of $211 based on negotiated insurance rates. The state has over 2,100 active providers offering skin biopsy services, giving patients across Nebraska multiple options for care.

Average

$167

Median

$211

Lowest

$47

Highest

$242

Providers

2,192

National avg: $124Nebraska: $167

34% above national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Nebraska?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$56$131$1552,212
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$119$257$3082,198
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$3$232,686

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 Nebraska

Nebraska's healthcare costs run approximately 1% below the national average, reflecting the state's lower cost of living and more competitive rural healthcare markets. The state's geography creates distinct cost patterns, with urban areas offering more provider choices but higher overhead costs.

Urban vs. Rural Provider Availability

Omaha and Lincoln concentrate most of Nebraska's dermatology specialists, creating cost competition but also higher facility overhead costs. Rural areas often rely on traveling specialists or telemedicine consultations, which can reduce costs but may limit access to immediate biopsy procedures. The 400-mile distance between Nebraska's eastern and western borders means some patients travel significant distances for specialized care.

Facility Type and Overhead Costs

Hospital-owned specialty clinics in Nebraska often charge facility fees that can add $100-200 to skin biopsy visits compared to independent dermatology practices. Major health systems like Nebraska Medicine and CHI Health have expanded their dermatology services, but their hospital affiliation typically results in higher total costs. Independent practices in smaller Nebraska cities often offer more competitive pricing due to lower overhead expenses.

Insurance Market Competition in Nebraska

BCBS Nebraska, UHC, and Aetna dominate the state's insurance market, with BCBS holding particularly strong rural network coverage. Limited insurer competition in rural counties can result in higher negotiated rates for specialty services. The state's lack of a comprehensive all-payer claims database makes it harder for patients to compare true costs across providers.

Physician Supply and Demand in Nebraska

With over 2,100 providers offering skin biopsy services across Nebraska, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. This supply imbalance drives patients from western Nebraska to seek care in Omaha or Denver, potentially increasing travel costs. Strong physician supply in metropolitan areas helps keep pricing competitive for routine dermatology 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 Nebraska

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

Without insurance, skin biopsy procedures in Nebraska typically range from $47 to $242, with a median cost of $211 based on negotiated rates that providers accept from insurers. Self-pay patients may receive discounts of 20-40% off these rates, especially at independent practices. The final cost depends on the biopsy type, pathology fees, and whether additional procedures are needed during the same visit.

Does Nebraska Medicaid cover Skin Biopsy visits?

Yes, Nebraska Medicaid covers medically necessary skin biopsies since the state expanded Medicaid in 2020. Coverage includes the dermatologist visit, biopsy procedure, and pathology analysis when deemed medically appropriate. Prior authorization may be required for multiple biopsies or specialized testing, and patients should verify that their chosen provider accepts Nebraska Medicaid before scheduling.

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

Compare costs between independent dermatology practices and hospital-owned clinics, as independents often charge 30-50% less for the same procedures. Ask about self-pay discounts, which many Nebraska providers offer to uninsured patients or those with high-deductible plans. Community health centers in Omaha, Lincoln, and other cities may 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 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 review and full skin examination, while established patient visits focus on specific concerns or biopsy site monitoring. The cost difference can range from $50-150, depending on the complexity of your condition and the provider's fee structure.

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

Yes, skin biopsy visits qualify as medical expenses eligible for HSA and FSA reimbursement when performed for diagnostic or treatment purposes. Keep receipts for the dermatologist visit, biopsy procedure, and pathology fees as all components are eligible expenses. Purely cosmetic procedures would not qualify, but any biopsy to rule out cancer or diagnose skin conditions is considered a qualified medical expense.

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

Telemedicine consultations in Nebraska typically cost $100-200 less than in-person visits but cannot replace physical biopsies when tissue sampling is needed. Virtual visits work well for follow-up care, reviewing biopsy results, or getting second opinions on treatment plans. Many Nebraska dermatologists now offer hybrid care models where initial consultations can be virtual, followed by in-person visits for procedures like biopsies when clinically indicated.

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