Cost of a Skin Biopsy Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's complex healthcare landscape includes over 30,000 Skin Biopsy providers across the Empire State, from Manhattan's academic medical centers to rural upstate practices. Patients seeking a Skin Biopsy typically encounter negotiated rates ranging from $48.91 to $386.71, with a median cost of $102.81 based on transparency data from major insurers. The state's extensive provider network spans from Buffalo's integrated health systems to Long Island's suburban practices, giving patients numerous options to browse all providers in New York.
Average
$179
Median
$103
Lowest
$49
Highest
$387
Providers
30,315
44% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $44 | $77 | $538 | 31,170 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $81 | $137 | $464 | 31,147 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $4 | $60 | 32,651 |
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 York
Healthcare costs in New York run approximately 22% above the national average, reflecting the state's high cost of living and concentration of premium medical facilities. The Empire State's healthcare market spans from world-renowned Manhattan medical centers to resource-constrained rural hospitals in the North Country, creating dramatic cost variations within a single state.
Urban vs. Rural Provider Availability
New York City's five boroughs contain over 60% of the state's dermatologists, while counties like Hamilton and Essex struggle with specialist shortages requiring patients to travel hours for care. Upstate regions including the Adirondacks and Southern Tier face particular challenges accessing subspecialty services, often driving patients to Albany or Rochester medical centers. This geographic maldistribution inflates costs in underserved areas while intensifying competition in metropolitan markets.
Facility Type and Overhead Costs
Hospital-owned practices dominate New York's healthcare landscape, with systems like NewYork-Presbyterian, NYU Langone, and Rochester Regional controlling large provider networks and commanding premium rates. Independent dermatology practices face mounting pressure from real estate costs, particularly in Manhattan where office rent can exceed $100 per square foot annually. Academic medical centers leverage their teaching hospital status to justify higher facility fees while providing access to cutting-edge diagnostic capabilities.
Insurance Market Competition in New York
Empire BCBS maintains the largest market share statewide, followed by UHC, Aetna, and Cigna competing primarily in employer and individual markets. The state's insurance marketplace offers robust competition with over a dozen carriers, helping moderate premium growth but creating complex provider network variations. Downstate markets show more insurer competition than rural upstate regions where one or two plans may dominate, affecting negotiated reimbursement rates.
Physician Supply and Demand in New York
With over 30,000 active Skin Biopsy providers, New York maintains one of the nation's highest specialist-to-population ratios, concentrated heavily in metropolitan areas. This abundance in urban markets creates competitive pricing pressure while rural regions face access challenges that can drive up costs. Wait times for routine biopsies typically range from 2-4 weeks in NYC versus 6-8 weeks in rural counties, reflecting supply imbalances that influence pricing dynamics.
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 York
What is the average cost of a Skin Biopsy visit in New York without insurance?
Does New York Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in New York?
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 York?
How does telemedicine affect the cost of seeing a Skin Biopsy in New York?
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 |