Cost of a Skin Biopsy Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island's concentrated healthcare market, dominated by just a few major health systems, creates unique cost dynamics for specialty care across the Ocean State. Skin Biopsy visits in Rhode Island typically range from limited available data, though patients can find options among the state's network of dermatology providers. With Rhode Island's compact geography, patients have access to specialists throughout the state, from Providence's academic medical centers to community practices in Newport and Warwick.
Average
$187
Median
$139
Lowest
$35
Highest
$387
Providers
65
50% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $42 | $88 | $538 | 89 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $167 | $464 | 88 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $4 | $90 | 107 |
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 Rhode Island
Rhode Island's healthcare costs run approximately 13% above the national average, driven by the state's high concentration of academic medical centers and limited geographic competition. The Ocean State's small size creates unique market dynamics where a few major health systems dominate specialty care pricing.
Urban vs. Rural Provider Availability
Most of Rhode Island's dermatologists practice in the Providence metropolitan area, with limited options in rural communities like Block Island or parts of Washington County. This geographic concentration can create longer wait times and higher costs for patients in outlying areas. Some residents travel to neighboring Massachusetts or Connecticut for more competitive pricing or shorter appointment waits.
Facility Type and Overhead Costs
Rhode Island's healthcare landscape is dominated by major systems like Lifespan and Care New England, which operate hospital-based specialty clinics with higher overhead costs. Independent dermatology practices in Rhode Island often offer more competitive pricing but may have limited locations. Academic practices affiliated with Brown University's medical school may charge teaching hospital rates while providing access to cutting-edge treatments.
Insurance Market Competition in Rhode Island
The Rhode Island insurance market shows limited competition with Blue Cross Blue Shield of Rhode Island holding a dominant position alongside UnitedHealthcare and Tufts Health Plan. This concentrated market can limit negotiating power for competitive rates, potentially contributing to higher healthcare costs statewide. Smaller regional insurers have minimal market share, reducing competitive pressure on pricing.
Physician Supply and Demand in Rhode Island
With 65 providers offering skin biopsy services across the state's small geographic area, Rhode Island maintains reasonable specialist density relative to its population of just over one million. However, this supply is heavily concentrated in urban areas, creating access challenges for rural residents. The state's aging population and high rates of skin cancer due to coastal lifestyle create steady demand for dermatological services.
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 Rhode Island
What is the average cost of a Skin Biopsy visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Rhode Island?
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 Rhode Island?
How does telemedicine affect the cost of seeing a Skin Biopsy in Rhode Island?
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 |