CPT 11755 Surgery - Integumentary
Biopsy nail unit Cost
Body System: Integumentary
Medicare Facility Rate
$54
CMS PFS CY2026
Medicare Non-Facility Rate
$120
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$76
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.22
Work RVU
0.30
Facility PE RVU
0.11
Malpractice RVU
3.58
Total RVU
Frequently Asked Questions
How much does Biopsy nail unit cost?
The Medicare facility rate is $54. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $76.
How much does Biopsy nail unit cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $54.