Cost of a Skin Biopsy Visit
in North Carolina
Reviewed by Momentary Medical Group West PC
North Carolina's healthcare costs run approximately 2% below the national average, offering patients more affordable access to specialized care including dermatological procedures. For a Skin Biopsy procedure, patients across the state can expect negotiated rates ranging from $38.76 to $208.75, with a typical median cost of $94.23 based on current insurance agreements. With over 2,300 active providers offering skin biopsy services throughout North Carolina, patients have substantial options when selecting an in-network specialist for their dermatological needs.
Average
$114
Median
$94
Lowest
$39
Highest
$209
Providers
2,357
8% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in North Carolina?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $45 | $80 | $158 | 2,572 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $77 | $129 | $297 | 2,542 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $3 | $85 | 2,799 |
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 North Carolina
North Carolina's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive provider market. The growing ambulatory surgery center market has increased competition and helped moderate pricing for outpatient procedures like skin biopsies.
Urban vs. Rural Provider Availability
The Research Triangle and Charlotte metro areas boast high concentrations of dermatologists, creating competitive pricing and shorter wait times. Rural counties in the mountains and eastern plains often have limited specialist access, requiring patients to travel to urban centers and potentially face higher costs. This geographic disparity means patients in Asheville or Wilmington may pay more due to limited local competition.
Facility Type and Overhead Costs
Major health systems like Atrium Health in Charlotte and Duke Health in the Triangle often charge premium rates due to higher overhead and academic affiliations. Independent dermatology practices typically offer more competitive pricing, especially in suburban markets where rent and staffing costs are lower. Ambulatory surgery centers have emerged as a cost-effective middle ground for outpatient procedures.
Insurance Market Competition in North Carolina
The state's competitive insurance market with BCBS NC, UHC, and Aetna has driven aggressive rate negotiations with providers. This competition benefits patients through lower negotiated rates, though network restrictions can limit provider choice. Regional insurers and self-funded employer plans add further complexity to the pricing landscape.
Physician Supply and Demand in North Carolina
With over 2,300 providers offering skin biopsy services statewide, North Carolina maintains adequate specialist supply in most regions. This healthy provider-to-population ratio helps keep costs reasonable and reduces wait times compared to underserved states. However, subspecialists in areas like dermatopathology remain concentrated in major medical centers, potentially affecting pricing for complex cases.
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 North Carolina
What is the average cost of a Skin Biopsy visit in North Carolina without insurance?
Does North Carolina Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in North Carolina?
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 North Carolina?
How does telemedicine affect the cost of seeing a Skin Biopsy in North Carolina?
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 |