Cost of a Skin Biopsy Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare market sits roughly 3% above national averages, driven by strong provider networks across the Norfolk-Virginia Beach metro and Northern Virginia corridor. Patients seeking a Skin Biopsy in Virginia typically pay between $30 and $193 for the procedure, with a median out-of-pocket cost of $79 based on negotiated insurance rates. With over 2,800 active Skin Biopsy providers throughout the state, Virginia patients can browse a wide selection of qualified specialists across urban and rural markets.
Average
$101
Median
$79
Lowest
$30
Highest
$193
Providers
2,833
19% below national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $35 | $68 | $138 | 3,387 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $67 | $108 | $244 | 2,969 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $2 | $98 | 3,504 |
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 Virginia
Virginia's healthcare costs run approximately 3% above national averages, influenced by the high-income Northern Virginia region and growing ambulatory surgery center market. The state's mix of academic medical centers, large health systems, and independent practices creates varied pricing structures across different regions.
Urban vs. Rural Provider Availability
Northern Virginia and the Richmond-Petersburg area offer abundant dermatology options with competitive pricing, while rural Southwest Virginia has fewer specialists and longer travel distances. The Norfolk-Virginia Beach metro provides good access along the coast, but residents in the Shenandoah Valley may face limited choices. This geographic disparity can lead to higher costs in underserved rural areas.
Facility Type and Overhead Costs
Hospital-owned dermatology clinics affiliated with systems like Sentara, VCU Health, and UVA Health typically charge higher facility fees than independent practices. Many Virginia dermatologists have shifted to hospital employment, potentially increasing patient costs but often improving care coordination. Ambulatory surgery centers offer a middle ground with lower overhead than hospitals but more resources than private offices.
Insurance Market Competition in Virginia
Virginia benefits from healthy competition between Anthem Blue Cross Blue Shield, Optima Health, and United Healthcare, which helps moderate negotiated rates for skin biopsies. The individual marketplace includes additional carriers like Kaiser Permanente in Northern Virginia, providing more options for patients. This competitive environment generally keeps costs below what patients might pay in less competitive state markets.
Physician Supply and Demand in Virginia
With over 2,800 providers offering skin biopsy services, Virginia maintains adequate specialist availability relative to its population of 8.6 million. The concentration of providers in urban areas creates competitive pricing in metros while potentially limiting options in rural regions. Strong medical training programs at VCU and UVA help maintain steady physician supply, though dermatology remains a competitive specialty with longer wait times for routine visits.
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 Virginia
What is the average cost of a Skin Biopsy visit in Virginia without insurance?
Does Virginia Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Virginia?
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 Virginia?
How does telemedicine affect the cost of seeing a Skin Biopsy in Virginia?
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 |