Incision biopsy, first skin growth
Medicare pricing data for 7,190 providers across 52 states
Prices vary significantly by location — from $50 in West Virginia to $159 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Incision biopsy, first skin growth (HCPCS code 11106) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $131.89, but hospitals typically charge $320.93 — a 2.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $131.89, your out-of-pocket cost would be approximately $26.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $98.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $159 | $639 | 29 | 46 | +20.7% |
| Puerto Rico | $155 | $161 | 11 | 15 | +17.6% |
| New York | $154 | $352 | 401 | 1,881 | +16.5% |
| New Jersey | $152 | $509 | 199 | 1,252 | +14.9% |
| Wyoming | $150 | $393 | 26 | 40 | +13.9% |
| Washington | $147 | $402 | 160 | 416 | +11.2% |
| Maryland | $146 | $272 | 129 | 764 | +10.7% |
| Massachusetts | $144 | $390 | 213 | 1,174 | +8.9% |
| Virginia | $143 | $249 | 220 | 1,046 | +8.4% |
| California | $142 | $316 | 620 | 4,334 | +7.9% |
| Delaware | $141 | $255 | 32 | 90 | +6.9% |
| Florida | $140 | $270 | 587 | 5,895 | +6.2% |
| Colorado | $139 | $324 | 136 | 211 | +5.7% |
| District of Columbia | $139 | $419 | 21 | 128 | +5.3% |
| Connecticut | $139 | $352 | 84 | 247 | +5.3% |
| New Hampshire | $135 | $379 | 42 | 125 | +2.3% |
| Illinois | $130 | $339 | 262 | 890 | -1.6% |
| Nevada | $129 | $425 | 56 | 146 | -2.4% |
| South Carolina | $128 | $244 | 126 | 641 | -2.7% |
| Oregon | $128 | $436 | 117 | 261 | -2.8% |
| Indiana | $128 | $266 | 167 | 727 | -2.9% |
| Tennessee | $128 | $251 | 179 | 1,103 | -3.1% |
| North Carolina | $123 | $343 | 223 | 498 | -6.5% |
| Louisiana | $121 | $320 | 101 | 297 | -8.2% |
| Ohio | $120 | $287 | 240 | 547 | -8.9% |
| Kansas | $118 | $295 | 92 | 126 | -10.5% |
| Kentucky | $118 | $269 | 103 | 1,018 | -10.7% |
| Arizona | $117 | $350 | 152 | 303 | -10.9% |
| Nebraska | $117 | $350 | 84 | 124 | -11.5% |
| Pennsylvania | $115 | $389 | 331 | 1,252 | -13.0% |
| Arkansas | $115 | $223 | 85 | 223 | -13.1% |
| Oklahoma | $113 | $304 | 101 | 364 | -14.2% |
| Hawaii | $112 | $336 | 16 | 208 | -14.9% |
| Michigan | $112 | $252 | 210 | 455 | -14.9% |
| Utah | $112 | $294 | 62 | 106 | -15.3% |
| Vermont | $111 | $219 | 6 | 16 | -15.6% |
| Texas | $111 | $342 | 420 | 1,550 | -15.7% |
| Mississippi | $110 | $280 | 69 | 148 | -16.8% |
| North Dakota | $109 | $334 | 10 | 19 | -17.6% |
| Georgia | $107 | $437 | 152 | 483 | -18.5% |
| Minnesota | $107 | $471 | 102 | 150 | -18.8% |
| Iowa | $105 | $395 | 82 | 125 | -20.2% |
| Montana | $100 | $218 | 35 | 52 | -24.1% |
| Alabama | $99 | $250 | 83 | 132 | -25.2% |
| Wisconsin | $94 | $514 | 152 | 245 | -28.6% |
| New Mexico | $92 | $312 | 61 | 112 | -30.4% |
| Missouri | $83 | $282 | 149 | 286 | -37.1% |
| Idaho | $83 | $230 | 60 | 84 | -37.2% |
| Rhode Island | $82 | $317 | 21 | 38 | -37.6% |
| South Dakota | $79 | $339 | 45 | 52 | -39.9% |
| Maine | $65 | $204 | 38 | 53 | -50.6% |
| West Virginia | $50 | $200 | 42 | 90 | -62.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber