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Texas

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

National avg: $124Texas: $105

15% below national average

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How does skin biopsy compare to related procedures in Texas?

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20610$45$85$11912,243
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$80$114$2339,771
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$5$9013,599

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.

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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 Texas

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

Self-pay patients in Texas typically pay between $34 and $194 for skin biopsy procedures, with a median cost around $87 based on negotiated insurance rates. Many dermatology practices offer cash-pay discounts of 20-40% for uninsured patients who pay at the time of service. These costs may vary significantly depending on the complexity of the procedure and whether additional pathology fees are required.

Does Texas Medicaid cover Skin Biopsy visits?

Texas has not expanded Medicaid, so eligibility is limited to specific populations like children, pregnant women, and disabled individuals. For those who qualify, Texas Medicaid does cover medically necessary dermatology visits and skin biopsies when properly referred by a primary care physician. Patients should verify their eligibility status and ensure their chosen provider accepts Texas Medicaid before scheduling appointments.

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

Compare costs across different facility types, as independent dermatology practices often charge less than hospital-owned clinics due to lower overhead costs. Many providers in Texas offer cash-pay discounts for uninsured patients, and community health centers in major cities may provide sliding-scale fee options. Geographic location within Texas significantly affects pricing, with rural and smaller city providers sometimes offering more competitive rates than major metropolitan areas.

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

Initial dermatology consultations typically cost more than follow-up visits due to the comprehensive evaluation required during new patient appointments. While specific follow-up visit data isn't available in our current dataset, initial skin biopsy procedures in Texas range from $34 to $194 with a median of $87. Follow-up visits for biopsy results or additional treatments are generally less expensive and may involve different billing codes depending on the services provided.

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

Yes, skin biopsy visits and procedures are qualified medical expenses that can be paid for using HSA or FSA funds. This includes both the dermatologist consultation fees and any laboratory costs for tissue analysis. Keep all receipts and documentation for your records, as these accounts may require proof that the expenses were medically necessary rather than cosmetic in nature.

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

While initial dermatology consultations can sometimes be conducted via telemedicine at lower costs, actual skin biopsies require in-person procedures for tissue sampling. Many Texas dermatologists offer virtual consultations for initial evaluations or follow-up result discussions, which typically cost less than office visits. However, any suspicious lesions identified during telemedicine appointments will ultimately require in-person visits for proper biopsy procedures and definitive diagnosis.

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
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming