Average Medicaid Skin Biopsy & Lesion Removal Payments
Typical Medicaid Skin Biopsy & Lesion Removal reimbursement across 1,141 cities
Avg. Medicaid Paid
$58.10
Price Range
$0.00 – $609.78
Total Claims
1.1M
Cities
1141
Typical Payment Range
Typical Medicaid Skin Biopsy & Lesion Removal payments fall between $32.45 and $71.73 per claim (median: $49.92). The top 10% of payments exceed $92.79.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Removal and microscopic examination of skin tissue to diagnose skin conditions, including suspicious moles, rashes, and potential skin cancers.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| San Diego, CA | $54.44 | $46.12 – $131.45 | 67,932 | 12 |
| New York, NY | $70.52 | $0.07 – $654.22 | 36,723 | 42 |
| Brooklyn, NY | $54.58 | $0.00 – $496.17 | 35,874 | 53 |
| Los Angeles, CA | $38.42 | $0.00 – $186.08 | 30,949 | 30 |
| Thousand Oaks, CA | $72.87 | $63.62 – $97.06 | 24,863 | 3 |
| Newport Beach, CA | $53.70 | $39.03 – $60.17 | 15,807 | 4 |
| Philadelphia, PA | $71.07 | $0.00 – $98.97 | 15,156 | 17 |
| Scottsdale, AZ | $63.58 | $52.45 – $90.73 | 15,116 | 17 |
| Elmhurst, NY | $67.24 | $50.08 – $116.45 | 14,928 | 11 |
| Phoenix, AZ | $64.62 | $1.99 – $278.65 | 14,254 | 47 |
| Lexington, KY | $37.78 | $17.22 – $165.51 | 13,646 | 19 |
| Beckley, WV | $49.47 | $0.00 – $56.87 | 13,477 | 8 |
| Dorchester, MA | $42.39 | $30.74 – $43.19 | 11,534 | 2 |
| Flushing, NY | $76.66 | $47.66 – $105.36 | 11,531 | 16 |
| Sacramento, CA | $54.51 | $0.00 – $107.36 | 11,178 | 9 |
| Chula Vista, CA | $95.81 | $69.57 – $95.87 | 10,976 | 4 |
| Indio, CA | $79.42 | $77.93 – $79.99 | 10,739 | 2 |
| Tampa, FL | $25.86 | $0.00 – $62.05 | 10,666 | 13 |
| Tucson, AZ | $58.89 | $42.55 – $80.18 | 10,277 | 28 |
| Cleveland, OH | $348.24 | $12.60 – $584.50 | 9,718 | 19 |
| Coral Gables, FL | $28.40 | $0.00 – $34.13 | 9,289 | 4 |
| Farmington, CT | $101.69 | $15.75 – $105.89 | 9,030 | 7 |
| Miami, FL | $22.55 | $0.65 – $46.10 | 8,962 | 17 |
| Lakewood, CA | $44.56 | $44.56 – $44.56 | 8,734 | 1 |
| Staten Island, NY | $44.62 | $1.67 – $124.56 | 8,613 | 10 |
| Thibodaux, LA | $3.45 | $0.00 – $37.40 | 8,573 | 4 |
| Miramar, FL | $14.33 | $0.00 – $29.55 | 8,536 | 6 |
| Bakersfield, CA | $76.64 | $11.31 – $95.49 | 7,432 | 11 |
| Joliet, IL | $49.11 | $16.82 – $52.14 | 7,231 | 2 |
| Indianapolis, IN | $19.08 | $13.18 – $139.56 | 7,215 | 12 |
| Bluefield, VA | $56.98 | $56.21 – $61.41 | 7,160 | 2 |
| Troy, OH | $39.91 | $39.91 – $39.91 | 6,634 | 1 |
| Stanford, CA | $54.95 | $13.89 – $70.82 | 6,601 | 3 |
| Ann Arbor, MI | $68.07 | $21.63 – $128.31 | 6,505 | 3 |
| West Hollywood, CA | $36.18 | $9.66 – $48.34 | 6,212 | 5 |
| Bronx, NY | $109.54 | $23.26 – $800.08 | 6,092 | 21 |
| Santa Maria, CA | $44.73 | $0.00 – $111.05 | 5,967 | 9 |
| Grand Rapids, MI | $53.50 | $52.99 – $55.55 | 5,795 | 3 |
| Slidell, LA | $36.85 | $0.00 – $82.54 | 5,795 | 15 |
| Mesa, AZ | $63.69 | $46.83 – $74.34 | 5,625 | 10 |
| Detroit, MI | $74.38 | $23.60 – $129.32 | 5,512 | 3 |
| Riverside, CA | $63.60 | $3.47 – $90.16 | 5,382 | 10 |
| Pequannock, NJ | $6.41 | $6.41 – $6.41 | 5,131 | 1 |
| Mission Hills, CA | $73.58 | $73.58 – $73.58 | 5,117 | 1 |
| Bowling Green, KY | $46.95 | $43.97 – $54.88 | 4,959 | 7 |
| Galion, OH | $47.13 | $26.62 – $48.33 | 4,871 | 2 |
| Albuquerque, NM | $92.28 | $20.46 – $136.57 | 4,863 | 12 |
| Fort Myers, FL | $64.36 | $0.00 – $76.10 | 4,751 | 6 |
| Neptune, NJ | $55.48 | $43.65 – $74.60 | 4,739 | 12 |
| Sherman Oaks, CA | $31.29 | $23.13 – $95.62 | 4,625 | 3 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 11102 | Tangential biopsy addl lesion | $64.91 | 704,767 | 2,299 |
| 11104 | Punch biopsy 1st lesion | $109.54 | 82,461 | 368 |
| 11103 | Tangential biopsy each addl | $40.87 | 73,076 | 350 |
| 11305 | Shave removal lesion scalp 0.5 | $21.83 | 56,499 | 132 |
| 11306 | Shave removal scalp 0.6-1cm | $32.90 | 39,363 | 105 |
| 11106 | Incisional biopsy 1st lesion | $105.07 | 25,288 | 19 |
| 11301 | Shave removal lesion 0.6-1cm | $42.64 | 22,135 | 118 |
| 11402 | Excision lesion trunk 1.1-2cm | $53.66 | 17,120 | 39 |
| 11606 | Excision malig trunk >4cm | $0.00 | 16,922 | 27 |
| 11307 | Shave removal scalp 1.1-2cm | $37.22 | 15,819 | 69 |
| 11422 | Excision lesion scalp 1.1-2cm | $48.13 | 13,892 | 20 |
| 11300 | Shave removal lesion 0.5cm | $33.39 | 12,390 | 73 |
| 11105 | Punch biopsy each addl | $31.01 | 12,216 | 62 |
| 11442 | Excision lesion face 1.1-2cm | $44.09 | 12,140 | 5 |
| 11302 | Shave removal lesion 1.1-2cm | $44.06 | 10,863 | 30 |
| 11443 | Excision lesion face 2.1-3cm | $62.47 | 8,948 | 3 |
| 11441 | Excision lesion face 0.6-1cm | $38.84 | 8,352 | 4 |
| 11421 | Excision lesion scalp 0.6-1cm | $26.78 | 7,801 | 20 |
| 11403 | Excision lesion trunk 2.1-3cm | $48.99 | 7,210 | 18 |
| 11423 | Excision lesion scalp 2.1-3cm | $48.14 | 5,611 | 9 |
| 11107 | Incisional biopsy each addl | $58.28 | 4,575 | 6 |
| 11420 | Excision lesion scalp 0.5cm | $24.13 | 4,525 | 20 |
| 11401 | Excision lesion trunk 0.6-1cm | $60.91 | 3,339 | 20 |
| 11312 | Shave removal face 1.1-2cm | $44.31 | 2,223 | 12 |
| 11311 | Shave removal face 0.6-1cm | $43.07 | 1,422 | 23 |
| 11424 | Excision lesion scalp 3.1-4cm | $55.23 | 1,307 | 4 |
| 11310 | Shave removal lesion face 0.5 | $40.00 | 1,131 | 17 |
| 11446 | Excision lesion face >4cm | $0.94 | 1,069 | 1 |
| 11440 | Excision lesion face 0.5cm | $45.25 | 964 | 4 |
| 11404 | Excision lesion trunk 3.1-4cm | $63.28 | 743 | 4 |
| 11426 | Excision lesion scalp >4cm | $28.15 | 658 | 4 |
| 11400 | Excision lesion trunk 0.5cm | $64.77 | 217 | 6 |
| 11603 | Excision malig trunk 2.1-3cm | $78.92 | 206 | 2 |
| 11406 | Excision lesion trunk >4cm | $65.23 | 186 | 3 |
| 11444 | Excision lesion face 3.1-4cm | $124.66 | 148 | 1 |
| 11602 | Excision malig trunk 1.1-2cm | $68.68 | 134 | 1 |
| 11600 | Excision malig lesion trunk 0.5 | $0.00 | 50 | 2 |
| 11604 | Excision malig trunk 3.1-4cm | $37.84 | 40 | 1 |
| 11601 | Excision malig trunk 0.6-1cm | — | — | — |
| 11620 | Excision malig scalp 0.5cm | — | — | — |
| 11621 | Excision malig scalp 0.6-1cm | — | — | — |
| 11622 | Excision malig scalp 1.1-2cm | — | — | — |
| 11623 | Excision malig scalp 2.1-3cm | — | — | — |
| 11624 | Excision malig scalp 3.1-4cm | — | — | — |
| 11626 | Excision malig scalp >4cm | — | — | — |
| 11640 | Excision malig face 0.5cm | — | — | — |
| 11641 | Excision malig face 0.6-1cm | — | — | — |
| 11642 | Excision malig face 1.1-2cm | — | — | — |
| 11643 | Excision malig face 2.1-3cm | — | — | — |
| 11644 | Excision malig face 3.1-4cm | — | — | — |
| 11646 | Excision malig face >4cm | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.