Cost of a Skin Biopsy Visit
in Wisconsin
Reviewed by Momentary Medical Group West PC
Wisconsin's healthcare market operates roughly 1% above national cost averages, with strong competition among major insurers like BCBS Wisconsin, UnitedHealthcare, and WEA Trust. Skin Biopsy patients typically pay between $60 and $387 for their visit, with a median out-of-pocket cost of $95 based on negotiated insurance rates. Wisconsin maintains over 7,200 active Skin Biopsy providers across the state, giving patients substantial options when browsing all providers throughout Wisconsin.
Average
$181
Median
$95
Lowest
$60
Highest
$387
Providers
7,209
45% above national average
Compare Similar Procedures
How does skin biopsy compare to related procedures in Wisconsin?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Joint Injection Injection into a major joint or bursa | 20610 | $72 | $178 | $487 | 6,840 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $73 | $98 | $779 | 7,190 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $4 | $25 | $95 | 16,542 |
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 Wisconsin
Wisconsin's healthcare costs run approximately 1% above the national average, reflecting the state's mix of urban centers and extensive rural regions. The state's geographic spread from Lake Superior to the Illinois border creates significant cost and access variations between metropolitan and agricultural areas.
Urban vs. Rural Provider Availability
Milwaukee and Madison concentrate most of Wisconsin's Skin Biopsy specialists, while rural counties often require patients to travel 30-60 miles for care. This geographic imbalance drives up costs in underserved areas where limited competition allows higher pricing. Rural patients frequently face both higher procedure costs and additional travel expenses.
Facility Type and Overhead Costs
Wisconsin's major health systems like Froedtert, UW Health, and Marshfield Clinic operate hospital-based outpatient dermatology departments with higher overhead costs. Independent dermatology practices throughout the state typically offer lower prices for routine Skin Biopsy procedures. Academic medical centers in Madison and Milwaukee charge premium rates reflecting their teaching and research missions.
Insurance Market Competition in Wisconsin
BCBS Wisconsin (Anthem), UnitedHealthcare, and WEA Trust create moderate competition in most markets, with some rural areas having fewer options. This competitive landscape helps keep negotiated rates reasonable compared to states with dominant single insurers. WEA Trust's focus on public employees adds unique dynamics to Wisconsin's insurance market pricing.
Physician Supply and Demand in Wisconsin
With over 7,200 active Skin Biopsy providers statewide, Wisconsin maintains adequate specialist supply in urban areas but faces shortages in rural regions. This distribution pattern creates longer wait times and higher costs in northern and western counties. The robust provider network in southeastern Wisconsin helps moderate pricing through increased competition.
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 Wisconsin
What is the average cost of a Skin Biopsy visit in Wisconsin without insurance?
Does Wisconsin Medicaid cover Skin Biopsy visits?
How do I find an affordable Skin Biopsy near me in Wisconsin?
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 Wisconsin?
How does telemedicine affect the cost of seeing a Skin Biopsy in Wisconsin?
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 |