Cost of a Skin Biopsy Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's small healthcare market of 338 active providers creates unique cost dynamics for specialty care, with Skin Biopsy procedures showing significant price variation across the state. Patients typically pay between $73 and $249 for a skin biopsy, with a median cost of $125 based on negotiated insurance rates. With many qualified Skin Biopsy providers practicing throughout Vermont's rural and urban communities, patients can browse all available specialists to find the right fit for their needs and budget.
Average
$149
Median
$125
Lowest
$73
Highest
$249
Providers
338
20% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $48 | $75 | $152 | 339 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $95 | $148 | $290 | 340 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $4 | $73 | 362 |
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 Vermont
Vermont's healthcare costs run approximately 15% above national averages, reflecting the state's small market size and rural geography challenges. The concentration of specialists in Burlington and limited provider options in rural counties creates distinct cost and access patterns across the state.
Urban vs. Rural Provider Availability
Burlington and surrounding Chittenden County host the majority of Vermont's dermatology specialists, creating competitive pricing and shorter wait times. Rural areas like the Northeast Kingdom often require patients to travel significant distances, with some providers charging travel fees for mobile services. The Interstate 89 corridor generally offers better access and more competitive rates than remote mountain communities.
Facility Type and Overhead Costs
The University of Vermont Medical Center's dominance in Burlington creates higher facility fees for hospital-based dermatology services compared to independent practices. Community health centers throughout Vermont often provide more affordable skin biopsy options, particularly in underserved rural areas. Private dermatology practices typically offer mid-range pricing with more flexible payment arrangements.
Insurance Market Competition in Vermont
BCBS VT and MVP Health Care control most of Vermont's insurance market, limiting competitive pressure on negotiated rates with providers. The small market size means fewer insurer options compared to larger states, potentially leading to higher costs. However, Vermont's regulatory environment promotes transparent pricing and consumer protections that can benefit patients.
Physician Supply and Demand in Vermont
With 338 active Skin Biopsy providers serving Vermont's population of about 650,000, the state maintains adequate specialist density in urban areas but faces shortages in rural regions. This supply-demand imbalance can drive up costs in underserved areas while creating competitive pricing near population centers. Wait times for non-urgent procedures typically range from 2-6 weeks depending on location.
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 Vermont
What is the average cost of a Skin Biopsy visit in Vermont without insurance?
Does Vermont Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Skin Biopsy in Vermont?
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 |