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
4% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in New Mexico?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $51 | $87 | $141 | 1,288 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $85 | $156 | $274 | 1,264 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $3 | $70 | 1,549 |
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 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 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.
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 Mexico
What is the average cost of a Skin Biopsy visit in New Mexico without insurance?
Does New Mexico Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in New Mexico?
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 Mexico?
How does telemedicine affect the cost of seeing a Skin Biopsy in New Mexico?
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 |
