Cost of a Skin Biopsy Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare system operates at approximately 2% below national cost averages, benefiting from a competitive insurance market dominated by SelectHealth, Blue Cross Blue Shield of Utah, and UnitedHealthcare. Skin Biopsy patients typically pay between $54 and $220, with a median out-of-pocket cost of $115 based on negotiated insurance rates across 394 active providers statewide. Utah residents have access to numerous qualified Skin Biopsy specialists throughout the Wasatch Front and rural communities, allowing patients to browse all providers and compare costs before scheduling their visit.
Average
$130
Median
$115
Lowest
$54
Highest
$220
Providers
394
4% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $37 | $92 | $142 | 440 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $40 | $185 | $278 | 421 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $85 | 537 |
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 Utah
Utah's healthcare costs run approximately 2% below national averages, reflecting the state's efficient healthcare delivery system and competitive insurance market. The concentration of major health systems along the Wasatch Front creates pricing efficiencies, while rural areas face higher per-visit costs due to provider scarcity and travel requirements.
Urban vs. Rural Provider Availability
The Wasatch Front corridor from Ogden to Provo contains 80% of Utah's dermatologists, creating competitive pricing and shorter wait times for skin biopsy appointments. Rural counties like San Juan, Garfield, and Daggett rely on traveling specialists or telemedicine consultations, resulting in higher travel costs but sometimes lower base fees. Patients in rural Utah may need to travel 100+ miles for specialized dermatopathology services.
Facility Type and Overhead Costs
Hospital-owned dermatology practices affiliated with Intermountain Healthcare, University of Utah Health, or Steward Health Care typically charge higher facility fees than independent clinics. Ambulatory surgery centers in Utah offer middle-ground pricing for skin biopsy procedures requiring minor surgical intervention. Independent dermatology practices, particularly in suburban areas like Murray, West Jordan, and Layton, often provide the most cost-effective options.
Insurance Market Competition in Utah
Utah's insurance landscape features healthy competition between SelectHealth (Intermountain's plan), Blue Cross Blue Shield of Utah, and UnitedHealthcare, preventing monopolistic pricing. SelectHealth's integration with Intermountain Healthcare creates unique cost advantages for patients using in-system providers. The competitive environment generally results in reasonable negotiated rates for dermatology services compared to less competitive state markets.
Physician Supply and Demand in Utah
With 394 active Skin Biopsy providers serving Utah's 3.3 million residents, the state maintains adequate specialist availability in urban areas but faces shortages in rural regions. The University of Utah's dermatology residency program helps maintain physician supply, though demand continues growing with the state's rapid population growth. This balanced supply-demand relationship keeps pricing competitive in metropolitan areas while creating premium pricing in underserved rural counties.
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 Utah
What is the average cost of a Skin Biopsy visit in Utah without insurance?
Does Utah Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a Skin Biopsy in Utah?
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 |