Cost of a Skin Biopsy Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare market operates approximately 2% below national cost averages, supported by a robust network of over 4,500 skin biopsy providers across the state. Patients typically pay between $30 and $164 for a skin biopsy procedure, with a median out-of-pocket cost of $89. Ohio residents benefit from having many active dermatology and pathology specialists throughout both urban centers like Cleveland and Columbus as well as rural communities, allowing patients to browse all providers statewide for competitive pricing options.
Average
$94
Median
$89
Lowest
$30
Highest
$164
Providers
4,523
24% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $38 | $80 | $106 | 5,495 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $63 | $104 | $206 | 4,671 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $3 | $85 | 5,851 |
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 Ohio
Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of major metropolitan areas and extensive rural regions creates notable cost and access variations for specialized procedures like skin biopsies.
Urban vs. Rural Provider Availability
Ohio's major cities like Cleveland, Columbus, and Cincinnati concentrate most dermatology specialists, while rural counties often have limited access requiring longer travel times. This geographic disparity means rural patients may face higher indirect costs through travel and time off work, though procedure fees themselves may be lower at critical access hospitals.
Facility Type and Overhead Costs
Hospital-based outpatient clinics affiliated with major systems like Cleveland Clinic or OhioHealth typically charge facility fees that can double total biopsy costs compared to independent dermatology practices. Academic medical centers in Ohio often have the highest overhead costs, which are reflected in their pricing structures for outpatient procedures.
Insurance Market Competition in Ohio
Medical Mutual, Anthem, and UnitedHealthcare dominate Ohio's commercial insurance market, creating moderate competition that prevents extreme rate variations. This three-way competition helps maintain relatively stable negotiated rates for dermatological procedures, though rural areas may have fewer insurer options limiting competitive pressure.
Physician Supply and Demand in Ohio
With over 4,500 providers performing skin biopsies statewide, Ohio maintains adequate specialist supply in urban areas but faces shortages in rural counties. This balanced supply in metropolitan regions helps keep pricing competitive and wait times reasonable, though patients in underserved rural areas may experience longer delays and potentially higher costs.
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 Ohio
What is the average cost of a Skin Biopsy visit in Ohio without insurance?
Does Ohio Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a Skin Biopsy in Ohio?
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 |