CPT 11102 Surgery - Integumentary

How Much Does Skin Biopsy (Tangential/Shave) Cost?

Also known as: Tangntl bx skin single les (CPT 11102)

A procedure where a thin layer of skin is shaved off for lab testing to diagnose skin conditions.

Skin Biopsy (Tangential/Shave) (CPT 11102) costs $30 at Medicare rates. Hospital outpatient rate: $415.

Cost Comparison by Payer

How much Tangntl bx skin single les costs across different settings and payers

Medicare
Facility rate
$30
Hospital Outpatient
OPPS rate
$415
Surgery Center
ASC rate
$73
Medicare (Facility)
$30
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$96
Non-facility setting
Hospital Outpatient
$415
OPPS rate
Surgery Center (ASC)
$73
Ambulatory surgery center

Patient Guide: Skin Biopsy (Tangential/Shave)

What you need to know before your appointment

What to Expect

The area is numbed with local anesthetic. The doctor uses a blade to shave a thin layer of the skin lesion. A bandage is applied.

How Long Does It Take?

10-15 minutes

Common Reasons Doctors Order This

Suspicious mole, skin rash diagnosis, skin growth evaluation, possible skin cancer

How to Prepare

No fasting needed. Do not apply makeup or lotion to the area. Tell your doctor about blood thinners.

Procedures Commonly Done Together

These procedures are frequently performed alongside Tangntl bx skin single les

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How to Reduce Your Cost for Tangntl bx skin single les

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($96) differs from the facility rate ($30). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $73, compared to $415 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.64
Work RVU
0.20
Practice Expense RVU
0.06
Malpractice RVU
2.86
Total RVU

Payment = Total RVU (2.86) x CF ($33.40) = $96

Frequently Asked Questions

How much does Tangntl bx skin single les cost?

The Medicare facility rate for Tangntl bx skin single les is $30. In a hospital outpatient setting, the rate is $415. At an ambulatory surgery center, the rate is $73. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Tangntl bx skin single les cost without insurance?

Without insurance, the cost of Tangntl bx skin single les can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Tangntl bx skin single les?

Most commercial health insurance plans and Medicare cover Tangntl bx skin single les when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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