CPT11104

Skin Biopsy (Punch) Cost in Connecticut

Punch bx skin single lesion

$453Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Connecticut Medicare physician rate (2026)

+6.8% vs national

Single statewide locality.

Connecticut (Hospital)
$39.87
Facility physician fee
Private plan est.
$168–$259
~130–200% of Medicare
Cash / self-pay est.
$104–$194
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$130
$38 physician + $92 facility
Physician fee alone
$38
Only 8% of the hospital total

Choosing a surgery centre over a hospital saves about $324 on the Medicare allowed amount for skin biopsy (punch). Ask whether your procedure can be done at an ambulatory surgery centre.

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Connecticut

Look up your ZIP code for local detail across Connecticut, including the New Haven and Hartford areas, Fairfield County and Stamford, and the quieter eastern and northwestern corners.

What skin biopsy (punch) costs at hospitals near you

Everything above is a national average. The hospital you pick in Connecticut moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Connecticut the office and hospital physician lines for this CPT differ by $89.57.

National vs Connecticut

National office$121.25
National hospital (physician)$38.08
Connecticut vs national7% above the national office rate of $121.25

Where Connecticut ranks for this CPT

Rank (lowest physician fee first)#44 of 51
Lowest stateArkansas ($106.93)
Highest stateAlaska ($139.35)

Skin Biopsy (Punch) and how Connecticut is priced

Despite sitting between two of the priciest metros in America, Connecticut is priced as one statewide Medicare locality, with geographic indices well above the national average. Every town from Stamford to Storrs shares the same adjustments, which are pushed up by the state's high wages, rents, and insurance costs. The uniform locality means Fairfield County's proximity to New York does not add a further Medicare premium beyond the statewide level. In practice Connecticut's Medicare-approved amounts rank among the higher states outside the biggest coastal cities.

Connecticut's hospital market has consolidated around a few large systems, and a major academic medical center in New Haven draws complex cases from across the state. Residents of Fairfield County routinely cross into New York for care, while some in the north lean toward Springfield or Boston providers. High commercial prices in the state make Medicare rates and transparent cash pricing especially useful comparison points here.

This procedure: A punch biopsy uses a small round cutting tool, usually 2 to 6 millimeters across, to remove a full-thickness core of skin down through the deeper layers. Dermatologists choose it over a shave when they need to see the entire depth of the skin, for example to evaluate a rash, a suspected melanoma, or an inflammatory condition. After a numbing injection, the punch takes under a minute, and the small hole is typically closed with one or two stitches that come out in one to two weeks.

What Is Skin Biopsy (Punch)?

A punch biopsy uses a small round cutting tool, usually 2 to 6 millimeters across, to remove a full-thickness core of skin down through the deeper layers. Dermatologists choose it over a shave when they need to see the entire depth of the skin, for example to evaluate a rash, a suspected melanoma, or an inflammatory condition. After a numbing injection, the punch takes under a minute, and the small hole is typically closed with one or two stitches that come out in one to two weeks.

What Affects the Cost

  • The separate pathology fee for processing and reading the full-thickness specimen is often the largest single charge on the bill.
  • Additional punches at the same visit are billed with add-on code 11105 for each extra lesion.
  • Because punch sites are usually sutured, a suture removal or wound check visit may generate its own charge if done as a distinct appointment.
  • Rash workups sometimes require special immunofluorescence or extra stains at the lab, which increases the pathology bill.
  • A biopsy done in a hospital-based clinic carries a facility fee on top of the physician charge.

Questions to Ask Before Booking

  • 1.Why a punch rather than a shave biopsy, and does the choice change the cost?
  • 2.Is my suture removal visit included, or billed separately?
  • 3.Which lab reads the specimen and is it in network for my plan?
  • 4.If special stains are needed for my rash, what extra lab charges should I expect?
  • 5.How many sites do you plan to biopsy today, and what is the add-on charge per site?

Skin Biopsy (Punch) in Connecticut: questions

Connecticut is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 11104 is $129.44 in an office and $39.87 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Connecticut uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $26 for the office physician line or $8 for the hospital physician line in Connecticut. Medigap may cover that 20%. This is not the hospital facility fee.

No. $129.44 is only the physician's share. Adding Medicare's facility payment brings the total to about $453 in a hospital outpatient department, or about $130 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Connecticut ranks #44 of 51 states on the physician line (7% above the national office rate of $121.25).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.