Cost of a Skin Biopsy Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia faces one of the nation's highest skin cancer mortality rates, making accessible dermatological care particularly important across the Mountain State's rural communities. Patients seeking a Skin Biopsy typically pay between $34 and $387, with a median out-of-pocket cost of $92 based on negotiated insurance rates from 98 active providers throughout West Virginia. Whether you're in Charleston's medical district or the rural counties of the Eastern Panhandle, patients can browse all Skin Biopsy providers across West Virginia to find quality care within their budget.
Average
$171
Median
$92
Lowest
$34
Highest
$387
Providers
98
38% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $42 | $86 | $264 | 203 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $111 | $456 | 141 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $6 | $95 | 619 |
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 West Virginia
West Virginia's healthcare costs run approximately 2% below national averages, reflecting the state's lower cost of living and rural healthcare infrastructure challenges. The Mountain State's rugged terrain and sparse population density create unique access barriers that influence both provider availability and pricing structures across different regions.
Urban vs. Rural Provider Availability
Charleston and Morgantown offer the highest concentration of dermatology specialists, while rural counties in southern and eastern West Virginia face significant provider shortages. This geographic disparity often forces rural patients to travel long distances for skin biopsy procedures, though some may find lower facility fees outside major metropolitan areas.
Facility Type and Overhead Costs
Hospital-based dermatology clinics affiliated with WVU Medicine or Charleston Area Medical Center typically charge higher facility fees than independent practices. Smaller community hospitals and rural health clinics may offer more affordable options, though they might have limited dermatology services or rely on visiting specialists.
Insurance Market Competition in West Virginia
The concentrated insurance market with Highmark WV, UHC, and Aetna as dominant players creates relatively stable negotiated rates but limited competitive pressure. This market structure can result in consistent pricing across providers but may not drive costs down as aggressively as in more competitive insurance markets.
Physician Supply and Demand in West Virginia
With 98 active providers offering skin biopsy services across the state, West Virginia maintains reasonable specialist availability relative to its population, though geographic distribution remains uneven. The adequate provider supply in urban areas helps control pricing, while rural shortages can lead to longer wait times and potentially higher costs for specialized dermatological procedures.
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 West Virginia
What is the average cost of a Skin Biopsy visit in West Virginia without insurance?
Does West Virginia Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in West 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 West Virginia?
How does telemedicine affect the cost of seeing a Skin Biopsy in West 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 |