CPT11102

How Much Does a Skin Biopsy (Tangential) Cost in New Hampshire?

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$98.23In-office total2026 Medicare, New Hampshire average

Under 2026 Medicare rates, a skin biopsy (tangential) in a doctor's office costs about $98 in New Hampshire, with no separate facility fee. In a facility the national total is about $445 at a hospital outpatient department or about $103 at an ambulatory surgery center, because the facility is paid its own rate on top of the physician.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 00210.
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New Hampshire Medicare physician rate (2026)

+2.8% vs national

Single statewide locality.

New Hampshire (Hospital)
$30.08
Facility physician fee
Private plan est.
$128–$196
~130–200% of Medicare
Cash / self-pay est.
$79–$147
~80–150% of Medicare

What it costs in a hospital or surgery center

In a doctor’s office, the office rate above is the whole Medicare payment. When the same procedure is done in a hospital or surgery center, the facility bills its own fee on top of the physician, which is what these totals show. They are 2026 national Medicare amounts.

Surgery center, total
$103
$30 physician + $73 facility
Physician fee alone
$30
Only 7% of the hospital total

Choosing a surgery center over a hospital saves about $343 on the Medicare allowed amount for skin biopsy (tangential). Ask whether your procedure can be done at an ambulatory surgery center.

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 New Hampshire

Check your ZIP for local context, whether you are in Manchester, Nashua, Concord, the Seacoast around Portsmouth, the Lakes Region, or the North Country.

What skin biopsy (tangential) costs at hospitals near you

Everything above is a national average. The hospital you pick in New Hampshire 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.

For example 00210.

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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 center 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 New Hampshire the office and hospital physician lines for this CPT differ by $68.15.

National vs New Hampshire

National office$95.53
National hospital (physician)$30.06
New Hampshire vs national3% above the national office rate of $95.53

Where New Hampshire ranks for this CPT

Rank (lowest physician fee first)#40 of 51
Lowest stateArkansas ($84.38)
Highest stateAlaska ($110.00)

Skin Biopsy (Tangential) and how New Hampshire is priced

New Hampshire is priced as one statewide locality with geographic indices above the national average, keeping company with its high-cost New England neighbors. From Nashua to the North Country, the fee schedule applies identical adjustments, even though the southern tier is economically an extension of greater Boston. CMS has never split the state, so the Massachusetts border is also a pricing border: cross it southbound and the metro Boston locality takes over. That makes New Hampshire a clear example of how locality lines, not just providers, shape what Medicare approves.

Southern New Hampshire residents routinely use Boston hospitals for complex care, accepting metro pricing in exchange for academic-center depth, while the state's own tertiary referral center sits in the west near the Vermont border. The Lakes Region and North Country rely on small rural hospitals with limited procedure menus. No state income or sales tax attracts retirees, steadily raising Medicare demand.

This procedure: A tangential skin biopsy removes a thin shaving from the surface of a suspicious spot using a flexible blade, without cutting deep into the skin. It is the go-to technique when a dermatologist wants to test a raised or scaly lesion for skin cancer or another skin condition. The area is numbed with a small injection, the shave itself takes seconds, and no stitches are needed; the site heals like a scrape over one to two weeks.

What Is Skin Biopsy (Tangential)?

A tangential skin biopsy removes a thin shaving from the surface of a suspicious spot using a flexible blade, without cutting deep into the skin. It is the go-to technique when a dermatologist wants to test a raised or scaly lesion for skin cancer or another skin condition. The area is numbed with a small injection, the shave itself takes seconds, and no stitches are needed; the site heals like a scrape over one to two weeks.

What Affects the Cost

  • –The pathologist who examines the tissue under a microscope bills a separate professional fee, and that charge often exceeds the biopsy itself.
  • –Each additional lesion shaved at the same visit is billed with an add-on code (11103), so multiple spots multiply the cost.
  • –If the shave visit also includes a full skin exam, an office visit charge is typically billed alongside the biopsy.
  • –Special pathology stains or a second dermatopathologist opinion on an ambiguous mole add further lab charges.
  • –Hospital-owned dermatology clinics can add a facility fee that a private dermatology office would not charge.

Questions to Ask Before Booking

  • 1.Which pathology lab will read my biopsy, and is it in my insurance network?
  • 2.Roughly what does the pathology reading cost in addition to the biopsy fee?
  • 3.If you biopsy more than one spot today, how does that change my bill?
  • 4.Will today's skin check be billed as a separate office visit on top of the biopsy?
  • 5.Is this being coded as medically necessary rather than cosmetic?

Skin Biopsy (Tangential) in New Hampshire: questions

Under 2026 Medicare rates, a skin biopsy (tangential) in a doctor's office costs about $98 in New Hampshire, with no separate facility fee. In a facility the national total is about $445 at a hospital outpatient department or about $103 at an ambulatory surgery center, because the facility is paid its own rate on top of the physician. New Hampshire is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. New Hampshire 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 $20 for the office physician line or $6 for the hospital physician line in New Hampshire. Medigap may cover that 20%. This is not the hospital facility fee.

In a doctor's office, $98.23 is Medicare's whole payment in New Hampshire: it covers the physician, the room and the supplies, with no separate facility fee. If it is done in a hospital outpatient department instead, the physician is paid about $30.08 and the hospital adds its own facility payment, bringing the national total to about $445. Services billed under other codes, such as lab work, are extra. New Hampshire ranks #40 of 51 states on the office rate (3% above the national office rate of $95.53).

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.