Logo
Washington

Cost of a Skin Biopsy Visit
in Washington

Reviewed by Momentary Medical Group West PC

Washington's healthcare system, anchored by major academic medical centers in Seattle and regional networks extending to rural communities, offers extensive access to dermatological services across the state. Skin Biopsy patients typically pay between $52 and $220, with a median out-of-pocket cost of $80 based on negotiated insurance rates from over 4,400 active providers throughout Washington. Patients can browse all Skin Biopsy specialists in Washington to find the most cost-effective option for their needs.

Average

$118

Median

$80

Lowest

$52

Highest

$220

Providers

4,477

National avg: $124Washington: $118

5% below national average

Compare Similar Procedures

How does skin biopsy compare to related procedures in Washington?

ProcedureCPTLowMedianHighProviders
Joint Injection

Injection into a major joint or bursa

20610$62$80$1524,606
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$80$142$3244,526
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$3$806,277

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 11102Tangential 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 Washington

Washington's healthcare costs run approximately 10% above the national average, reflecting the state's robust economy and higher cost of living concentrated in the Puget Sound metropolitan area. The state's geography creates distinct cost zones, with Seattle and Bellevue commanding premium rates while eastern Washington communities offer more affordable specialist care.

Urban vs. Rural Provider Availability

Seattle, Spokane, and Tacoma concentrate most of Washington's dermatology specialists, creating competitive pricing in these metro areas but longer wait times. Rural counties like Ferry, Garfield, and Pend Oreille rely heavily on visiting specialists or telemedicine consultations, often resulting in higher per-visit costs due to limited local options. Eastern Washington patients frequently travel to Spokane or the Tri-Cities for specialized dermatological procedures.

Facility Type and Overhead Costs

Hospital-based dermatology clinics at systems like UW Medicine, MultiCare, and Providence charge additional facility fees that can double the total cost of skin biopsies compared to independent practices. Academic medical centers in Seattle command premium rates due to their teaching hospital status and subspecialty expertise. Private dermatology groups throughout Washington typically offer more transparent, bundled pricing without separate facility charges.

Insurance Market Competition in Washington

Washington's competitive insurance market with Premera, Regence, Kaiser Permanente, and UnitedHealthcare as major players helps keep negotiated rates reasonable for specialty services. The state's active insurance marketplace and robust employer-sponsored coverage create leverage for competitive provider reimbursement. Kaiser's integrated model offers some of the lowest out-of-pocket costs for members but limits provider choice to their network.

Physician Supply and Demand in Washington

With over 4,400 providers offering skin biopsy services, Washington maintains adequate specialist availability relative to its population, particularly in urban corridors. This healthy supply-demand balance helps moderate pricing and reduces wait times for routine dermatological procedures. The state's strong medical training programs, including UW School of Medicine, continuously replenish the specialist workforce and maintain competitive pricing pressures.

JP

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 Washington

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

Uninsured patients in Washington typically pay between $52 and $220 for a skin biopsy visit, with a median cost of $80 based on negotiated insurance rates. However, many providers offer cash-pay discounts of 20-40% for patients who pay at the time of service. Community health centers throughout Washington provide sliding-scale fees based on income, potentially reducing costs significantly for qualifying patients.

Does Washington Medicaid cover Skin Biopsy visits?

Yes, Washington's expanded Medicaid program (Apple Health) covers medically necessary skin biopsies with minimal or no patient cost-sharing when performed by enrolled providers. The state's Medicaid expansion provides comprehensive dermatological coverage to eligible low-income residents. Patients should verify that both the dermatologist and any pathology services are enrolled Medicaid providers to avoid unexpected charges.

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

Compare costs between independent dermatology practices and hospital-based clinics, as private practices typically charge less than academic medical centers. Many Washington providers offer self-pay discounts for uninsured patients or payment plans for those facing financial hardship. Community health centers in cities like Seattle, Spokane, and Tacoma provide dermatological services on sliding-scale fee schedules based on household income.

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

Based on the available data, skin biopsy procedures in Washington range from $52 to $220 with a median of $80, regardless of whether it's an initial or follow-up visit. The biopsy procedure cost typically remains consistent, though initial consultations may involve additional evaluation time. Follow-up visits to discuss biopsy results are often shorter and may cost less than the initial procedure visit.

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

Yes, skin biopsy visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) in Washington. You can use pre-tax dollars from these accounts to pay for the procedure, pathology fees, and related dermatological care. Keep detailed receipts for tax purposes, as the IRS requires documentation for all HSA and FSA medical expense claims.

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

While telemedicine consultations in Washington typically cost less than in-person visits, actual skin biopsies require physical procedures that cannot be performed remotely. However, initial dermatological consultations via telehealth can help determine if a biopsy is necessary, potentially saving unnecessary office visit costs. Many Washington dermatologists offer hybrid care models where follow-up visits to discuss biopsy results can be conducted virtually at reduced rates.

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