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New Mexico

Cost of a Skin Biopsy Visit
in New Mexico

Reviewed by Momentary Medical Group West PC

New Mexico's high-altitude environment and intense UV exposure create unique dermatological challenges, driving demand for specialized skin care services across the state. Skin Biopsy visits in New Mexico typically cost between $45.60 and $221.19, with a median out-of-pocket cost of $90.07 based on negotiated insurance rates. With over 1,247 active Skin Biopsy providers throughout New Mexico, patients have access to quality care from Albuquerque's academic medical centers to rural community clinics, and can browse all available providers to find the best fit for their needs and budget.

Average

$119

Median

$90

Lowest

$46

Highest

$221

Providers

1,247

National avg: $124New Mexico: $119

4% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in New Mexico?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$51$87$1411,288
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$85$156$2741,264
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$3$701,549

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 New Mexico

New Mexico's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural economics. However, limited provider density in many regions can create access challenges that sometimes drive up costs for specialized services like dermatology.

Urban vs. Rural Provider Availability

Albuquerque and Santa Fe concentrate most of New Mexico's dermatology specialists, creating cost advantages through competition and higher patient volumes. Rural counties like Hidalgo, Catron, and Harding have minimal or no resident dermatologists, forcing patients to travel long distances and sometimes pay premium rates for limited appointments. This geographic maldistribution often results in higher per-visit costs in underserved areas despite the state's overall lower cost structure.

Facility Type and Overhead Costs

Presbyterian Healthcare Services and University of New Mexico Health dominate the hospital market, with their employed dermatologists typically charging higher facility fees than independent practices. Academic medical centers like UNM Hospital often have the highest overhead costs but also handle the most complex cases requiring specialized expertise. Independent dermatology practices in suburban areas generally offer the most competitive pricing for routine skin evaluations and minor procedures.

Insurance Market Competition in New Mexico

Blue Cross Blue Shield of New Mexico holds significant market share alongside national players like UnitedHealthcare and Molina Healthcare, creating moderate insurer competition that helps contain negotiated rates. The state's relatively small population limits the leverage insurers have in rate negotiations compared to larger markets. Medicaid expansion has increased patient volume for many providers, helping to stabilize pricing for commercially insured patients.

Physician Supply and Demand in New Mexico

With 1,247 active Skin Biopsy providers serving approximately 2.1 million residents, New Mexico maintains reasonable access to dermatological care in urban areas while facing shortages in rural regions. This uneven distribution creates pricing pressure in underserved areas where specialists can command higher rates due to limited competition. Wait times for routine dermatology appointments often exceed 4-6 weeks in rural areas, reflecting the supply-demand imbalance that influences pricing throughout the state.

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 New Mexico

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

Uninsured patients in New Mexico typically pay between $45.60 and $221.19 for a Skin Biopsy visit, with a median cost of $90.07 based on current negotiated rates. Many providers offer self-pay discounts of 15-30% for patients paying at the time of service. Community health centers and federally qualified health centers may provide sliding scale fees based on income, making care more affordable for uninsured patients.

Does New Mexico Medicaid cover Skin Biopsy visits?

Yes, New Mexico expanded Medicaid covers medically necessary Skin Biopsy visits for eligible adults with incomes up to 138% of the federal poverty level. Coverage includes diagnostic procedures, biopsies, and follow-up care when provided by Medicaid-enrolled dermatologists. Prior authorization may be required for certain procedures, so it's important to verify coverage requirements with your provider before scheduling complex treatments.

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

Compare costs across different facility types, as independent dermatology practices often charge less than hospital-owned clinics for the same services. Ask about self-pay discounts, payment plans, and sliding scale fees if you're uninsured or underinsured. Community health centers in cities like Albuquerque and Las Cruces may offer dermatology services at reduced rates based on your ability to pay.

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

Initial Skin Biopsy consultations typically cost between $45.60 and $221.19 with a median of $90.07, as these visits require comprehensive evaluation and examination time. Follow-up visits are generally less expensive since they involve reviewing test results or monitoring treatment progress rather than complete diagnostic workups. The exact cost difference depends on the complexity of your condition and whether additional procedures are performed during the visit.

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

Yes, Health Savings Account and Flexible Spending Account funds can be used to pay for medically necessary Skin Biopsy visits and related procedures. This includes diagnostic consultations, biopsies, pathology fees, and prescribed treatments for skin conditions. Keep receipts and documentation from your dermatologist to support the medical necessity of expenses for tax purposes.

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

Teledermatology consultations typically cost 20-40% less than in-person visits, though physical examination and procedures still require office visits. Many New Mexico dermatologists offer virtual consultations for follow-up care, medication management, or initial assessments using high-quality photos. While telemedicine can reduce costs and improve access in rural areas, diagnostic procedures like biopsies always require in-person care at a qualified facility.

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