Cost of a Skin Biopsy Visit
in Texas
Reviewed by Momentary Medical Group West PC
Texas's sprawling geography creates significant healthcare cost variations, with the state maintaining approximately 4% below national averages for specialty services. Skin Biopsy visits in Texas typically range from $34 to $194 based on negotiated insurance rates, with a median cost of $87. Over 10,000 active providers across the state offer these services, from major metropolitan areas like Houston and Dallas to smaller rural communities throughout Texas's 254 counties.
Average
$105
Median
$87
Lowest
$34
Highest
$194
Providers
10,370
15% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Texas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $45 | $85 | $119 | 12,243 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $114 | $233 | 9,771 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $5 | $90 | 13,599 |
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 Texas
Texas healthcare costs run approximately 4% below the national average, benefiting from the state's business-friendly environment and robust provider competition. However, the state's massive rural areas and concentrated urban populations create significant access and cost disparities across its 268,596 square miles.
Urban vs. Rural Provider Availability
Major metropolitan areas like Dallas-Fort Worth, Houston, San Antonio, and Austin have high concentrations of dermatologists, creating competitive pricing environments. Rural counties across East Texas, the Panhandle, and South Texas often have limited or no dermatology specialists, requiring patients to travel significant distances and potentially pay higher prices. This geographic maldistribution affects both access and pricing throughout the state.
Facility Type and Overhead Costs
Large health systems like Houston Methodist, Baylor Scott & White, and UT Southwestern often charge higher facility fees for dermatology services compared to independent practices. Hospital-owned outpatient clinics typically have higher overhead costs that get passed to patients through facility charges. Many independent dermatology groups throughout Texas can offer more competitive pricing without these additional institutional costs.
Insurance Market Competition in Texas
The state's insurance market features robust competition among UHC, BCBS Texas, Aetna, and Cigna, along with regional players and self-insured employer plans. This competitive environment generally helps keep negotiated rates reasonable compared to less competitive state markets. However, rural areas may have fewer insurer options, potentially resulting in higher costs for specialty care in those regions.
Physician Supply and Demand in Texas
With over 10,000 providers offering skin biopsy services across Texas, the state has relatively good specialist availability in urban areas. This substantial provider network helps maintain competitive pricing and reduces wait times in major metropolitan regions. However, the uneven geographic distribution means some areas face provider shortages that can drive up costs and extend scheduling delays.
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 Texas
What is the average cost of a Skin Biopsy visit in Texas without insurance?
Does Texas Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Texas?
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 Texas?
How does telemedicine affect the cost of seeing a Skin Biopsy in Texas?
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 |