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Tennessee

Cost of a Skin Biopsy Visit
in Tennessee

Reviewed by Momentary Medical Group West PC

Tennessee ranks among the top states for skin cancer incidence rates, yet maintains healthcare costs approximately 4% below the national average. For a Skin Biopsy visit, patients with insurance typically pay between $36 and $160 in out-of-pocket costs, with a median cost of $85. With over 2,400 active Skin Biopsy providers across Tennessee, patients have substantial choice when browsing providers throughout the state.

Average

$94

Median

$85

Lowest

$36

Highest

$160

Providers

2,458

National avg: $124Tennessee: $94

25% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Tennessee?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$42$67$1112,682
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$83$118$2042,536
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$5$852,911

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 Tennessee

Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living and competitive insurance market. The state's geography creates distinct cost zones, with Nashville and Memphis commanding premium prices while rural Appalachian counties offer more affordable care with limited provider choice.

Urban vs. Rural Provider Availability

Nashville and Memphis concentrate most of Tennessee's dermatology specialists, creating price competition but also higher overhead costs. Rural counties in East Tennessee often have no local dermatologists, forcing patients to travel to regional centers like Knoxville or Johnson City. This geographic imbalance drives up costs in underserved areas where specialists can command premium prices.

Facility Type and Overhead Costs

Hospital-owned dermatology clinics at systems like Vanderbilt University Medical Center and Methodist Le Bonheur Healthcare typically charge facility fees on top of physician charges. Independent dermatology practices generally offer more competitive pricing without these additional overhead costs. Academic medical centers may charge more but offer access to clinical trials and specialized expertise.

Insurance Market Competition in Tennessee

BlueCross BlueShield of Tennessee dominates the individual market while competing with UnitedHealthcare and Cigna in the employer-sponsored segment. This moderate competition helps keep negotiated rates reasonable compared to states with insurance monopolies. The lack of Medicaid expansion reduces insurer participation in some rural markets.

Physician Supply and Demand in Tennessee

With over 2,400 active Skin Biopsy providers, Tennessee has adequate specialist supply in urban areas but significant shortages in rural regions. This geographic mismatch creates longer wait times and higher prices in underserved counties. The concentration of providers around medical schools in Nashville and Memphis helps keep costs competitive in these metro areas.

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 Tennessee

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

Uninsured patients in Tennessee typically pay between $200-600 for a skin biopsy visit, including the consultation and procedure. The actual biopsy procedure averages $85 based on negotiated insurance rates, but cash-pay patients often face higher list prices. Many dermatology practices offer self-pay discounts of 20-40% for upfront payment, bringing costs closer to insured rates.

Does Tennessee Medicaid cover Skin Biopsy visits?

TennCare (Tennessee's Medicaid program) covers medically necessary skin biopsies when performed by enrolled providers and deemed appropriate by a physician. However, Tennessee did not expand Medicaid, so coverage is limited to specific populations like children, pregnant women, elderly, and disabled individuals. Adults without these qualifications typically don't qualify for TennCare coverage regardless of income level.

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

Compare prices between independent dermatology practices and hospital-owned clinics, as independents typically charge less without facility fees. Look for community health centers in your area that offer sliding scale fees based on income. Ask providers about cash-pay discounts, which can reduce costs by 20-40% for uninsured patients. Consider traveling to areas with more provider competition if you live in rural Tennessee.

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

Based on Tennessee insurance data, initial skin biopsy consultations typically cost around $85 for the procedure itself, though the full visit including evaluation may be higher. Follow-up visits to discuss biopsy results or monitor healing are generally less expensive since they don't involve procedures. Most insurance plans have the same specialist copay for both new and established patient visits.

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

Yes, skin biopsy visits are considered qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both the consultation fee and the biopsy procedure itself. Keep all receipts and documentation for tax purposes, as the IRS may require proof that the expense was medically necessary.

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

While initial consultations can sometimes be done via telemedicine for around $150-250, actual skin biopsies require in-person procedures. Tennessee expanded telehealth coverage during COVID-19, and many insurers now cover virtual dermatology consultations at the same rate as office visits. Telemedicine can be cost-effective for follow-up visits to discuss biopsy results or treatment plans after the procedure.

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