Cost of a Skin Biopsy Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey ranks among the top states for dermatology provider density, with over 6,500 active Skin Biopsy specialists serving the state's 9.3 million residents. Patients typically pay between $20.64 and $230.06 for a Skin Biopsy visit, with a median out-of-pocket cost of $73.22 based on negotiated insurance rates. The Garden State's robust network of specialists means patients can browse providers across all 21 counties to find quality care that fits their budget.
Average
$108
Median
$73
Lowest
$21
Highest
$230
Providers
6,548
13% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $34 | $65 | $205 | 6,622 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $44 | $103 | $306 | 6,608 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $4 | $68 | 7,443 |
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 New Jersey
New Jersey's healthcare costs run approximately 17% above national averages, driven by the state's dense population, high cost of living, and proximity to expensive New York metropolitan markets. The Garden State's compact geography concentrates most specialists in the northern and central regions, creating access challenges for South Jersey residents.
Urban vs. Rural Provider Availability
The majority of New Jersey's 6,500+ Skin Biopsy providers cluster around Newark, Trenton, and Princeton corridors, leaving rural counties like Salem and Cumberland with limited options. Patients in South Jersey often travel to Camden or Atlantic City for specialized care, while North Jersey residents benefit from abundant choice and competitive pricing. This geographic imbalance drives up costs in underserved regions.
Facility Type and Overhead Costs
Major health systems like RWJBarnabas, Atlantic Health, and Hackensack Meridian dominate New Jersey's hospital market, operating numerous dermatology clinics that charge facility fees alongside physician services. Independent dermatology practices, more common in suburban areas like Morris and Somerset counties, typically offer lower total costs without hospital overhead. Academic medical centers at Rutgers and Cooper often provide teaching clinics with reduced rates.
Insurance Market Competition in New Jersey
Horizon BCBS maintains the largest market share in New Jersey, followed by Aetna and UHC, creating moderate competition that keeps some pricing pressure on providers. The state's regulatory environment requires robust provider networks, preventing insurers from creating overly narrow networks that would limit patient choice. However, consolidation among health systems has strengthened provider negotiating power, contributing to above-average costs.
Physician Supply and Demand in New Jersey
With over 6,500 active Skin Biopsy providers serving 9.3 million residents, New Jersey enjoys excellent specialist availability compared to national averages. This robust supply helps moderate wait times, with most patients securing appointments within 2-3 weeks for routine biopsies. However, the concentration of specialists in affluent counties creates disparities, with some areas experiencing longer waits and higher prices despite overall adequate supply.
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 New Jersey
What is the average cost of a Skin Biopsy visit in New Jersey without insurance?
Does New Jersey Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a Skin Biopsy in New Jersey?
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 |