CPT11102

Skin Biopsy (Tangential) Cost in Washington

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$445Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Washington Medicare physician rate (2026)

+10.8% vs national

Average of 2 localities. Office range $99.15–$112.61.

Washington (Hospital)
$31.25
Facility physician fee
Private plan est.
$138–$212
~130–200% of Medicare
Cash / self-pay est.
$85–$159
~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
$103
$30 physician + $73 facility
Physician fee alone
$30
Only 7% of the hospital total

Choosing a surgery centre 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 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 Washington

Enter your ZIP code to see whether Seattle-area or rest-of-state pricing applies, from Seattle, Tacoma, and Everett to Spokane, the Tri-Cities, Vancouver, Bellingham, and the Olympic Peninsula.

What skin biopsy (tangential) costs at hospitals near you

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

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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 Washington the office and hospital physician lines for this CPT differ by $74.63.

National vs Washington

National office$95.53
National hospital (physician)$30.06
Washington vs national11% above the national office rate of $95.53

Where Washington ranks for this CPT

Rank (lowest physician fee first)#48 of 51
Lowest stateArkansas ($84.38)
Highest stateAlaska ($110.00)

CPT 11102 by Washington locality

LocalityOffice
seattle (king cnty)$112.61
rest of washington$99.15

PE GPCI ranges from 1.053 to 1.227 in Washington. That index is why the same CPT is not one price statewide.

Skin Biopsy (Tangential) and how Washington is priced

Washington divides into a Seattle-area locality and a rest-of-state locality, so Puget Sound's biggest market carries higher geographic adjustments than Spokane, the Tri-Cities, or the coast. The Seattle locality reflects some of the highest wages in the western United States, while everywhere else in the state shares one lower-cost set of factors. An identical procedure is therefore approved at more in Seattle than in Spokane, a two-tier pattern much like Oregon's. Rest-of-state Washington still prices respectably against national averages.

Seattle is the referral capital of the Pacific Northwest, with academic medicine that serves not just Washington but Alaska, Montana, Idaho, and Wyoming through long-standing regional arrangements. Spokane anchors the Inland Northwest, drawing patients from northern Idaho and beyond, while the Olympic Peninsula and southwest coast are comparatively underserved. Rapid consolidation has concentrated much of the state's care into a few large systems.

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 Washington: questions

The 2026 Medicare physician office rate for CPT 11102 averages $105.88 across 2 Washington localities, from $99.15 in REST OF WASHINGTON to $112.61 in SEATTLE (KING CNTY). The hospital physician rate averages $31.25. Enter a ZIP for the exact locality.

Yes. CMS splits Washington into 2 payment localities. For this CPT the office physician fee spans $13.46 from the lowest to highest locality. Enter your ZIP code to see whether Seattle-area or rest-of-state pricing applies, from Seattle, Tacoma, and Everett to Spokane, the Tri-Cities, Vancouver, Bellingham, and the Olympic Peninsula.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $21 for the office physician line or $6 for the hospital physician line in Washington. Medigap may cover that 20%. This is not the hospital facility fee.

No. $105.88 is only the physician's share. Adding Medicare's facility payment brings the total to about $445 in a hospital outpatient department, or about $103 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Washington ranks #48 of 51 states on the physician line (11% 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.