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Oregon

Cost of a Skin Biopsy Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's Medicaid expansion has improved dermatological access across the state, yet Skin Biopsy costs still show significant variation based on location and facility type. Patients typically pay between $53.58 and $242.27 for a Skin Biopsy procedure, with a median cost of $82.53. With 368 active providers performing skin biopsies across Oregon's urban centers and rural communities, patients can browse all available specialists to find the most affordable option for their situation.

Average

$126

Median

$83

Lowest

$54

Highest

$242

Providers

368

National avg: $124Oregon: $126

1% above national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Oregon?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$58$85$167516
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$80$119$387418
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$3$801,033

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 Oregon

Oregon's healthcare costs run approximately 9% above the national average, driven by the state's moderate but growing ambulatory surgery center market and concentration of providers in urban areas. The state's regulatory environment and dominant insurance players create unique cost dynamics for specialized procedures like Skin Biopsy.

Urban vs. Rural Provider Availability

Portland's metro area concentrates most of Oregon's dermatology specialists, while eastern Oregon's rural counties often require patients to travel hours for Skin Biopsy procedures. This geographic disparity creates both access challenges and cost variations, with rural patients sometimes paying travel costs that exceed the procedure fee itself.

Facility Type and Overhead Costs

Oregon Health & Science University and Providence Health Systems operate many hospital-based dermatology clinics with higher overhead costs than independent practices. These academic and health system-affiliated facilities often charge facility fees in addition to professional fees for Skin Biopsy procedures.

Insurance Market Competition in Oregon

The state's insurance landscape features moderate competition between Regence BCBS, PacificSource, and UnitedHealthcare, with each maintaining different negotiated rates for dermatological procedures. This competitive dynamic helps keep some costs in check, though Oregon's rates still exceed national averages for most specialist services.

Physician Supply and Demand in Oregon

With 368 active providers performing skin biopsies statewide, Oregon maintains reasonable access relative to its population, though distribution favors urban areas heavily. This adequate supply in metro areas helps moderate pricing competition, while rural shortages can drive up costs for patients with limited options.

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 Oregon

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

Self-pay patients in Oregon typically pay between $53.58 and $242.27 for a Skin Biopsy procedure, with a median cost of $82.53. These rates reflect what insurers have negotiated with providers, though cash-pay patients may receive discounts of 20-40% at many practices. The final cost depends on the complexity of the biopsy and whether pathology services are included in the quoted price.

Does Oregon Medicaid cover Skin Biopsy visits?

Yes, Oregon's expanded Medicaid program covers medically necessary Skin Biopsy procedures with no copay for most enrolled patients. Prior authorization may be required for some non-urgent biopsies, but coverage is comprehensive when the procedure is deemed medically appropriate. Patients should verify their provider accepts Oregon Health Plan before scheduling.

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

Compare costs across different facility types, as independent dermatology practices often charge less than hospital-based clinics for the same procedure. Ask about self-pay discounts if you're uninsured, and consider federally qualified health centers which offer sliding fee scales. Community health centers in Portland, Eugene, and other cities provide dermatological services at reduced rates.

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

Initial Skin Biopsy consultations typically cost between $53.58 and $242.27 based on our data for the biopsy procedure itself. Follow-up visits for results or additional treatment are generally less expensive, though exact pricing varies by provider. Some practices bundle the consultation, biopsy, and result discussion into a single fee.

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

Yes, Skin Biopsy procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars for the procedure fee, pathology costs, and related medical expenses. Keep all receipts and documentation for tax purposes and FSA reimbursement.

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

While telemedicine consultations cost less than in-person visits, actual Skin Biopsy procedures require physical examination and cannot be performed remotely. Many Oregon dermatologists offer virtual consultations for initial assessment of skin concerns, which can help determine if a biopsy is necessary before scheduling the in-person procedure. These teleconsultations typically cost $50-150 and may help avoid unnecessary office visits.

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