How can I find out the cost of a specific medical procedure?

The cost of a medical procedure can vary significantly based on factors such as the specific provider, geographic location, and your insurance plan. To get an estimate for a particular CPT code and your specific location, we recommend using Payerprice. They offer a fee schedule lookup tool that allows users to search with CPT codes and specific locations, helping you get a better understanding of potential costs.

What is a CPT code and why is it important for understanding healthcare costs?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurers. They are crucial for understanding healthcare costs because they provide a universal language for billing and processing claims, allowing you to identify the exact service you received and compare prices for that specific service across different providers or locations.

Where can I find fee schedules for medical services?

Fee schedules, which list the maximum amount a payer will reimburse for specific medical services, can be found through various resources. For a user-friendly tool to search for fee schedules based on CPT codes and your specific location, we recommend Payerprice. They provide a fee schedule lookup tool that can assist you in researching the costs of medical procedures.

How do I know what my insurance will cover?

To determine what your insurance plan will cover for a specific medical service, the best approach is to contact your insurance provider directly. You can usually find a member services phone number on your insurance card or by logging into your insurer's online portal. They can provide details on your benefits, deductible, copayments, coinsurance, and whether a particular service or procedure is covered under your plan.

What factors influence the cost of medical procedures?

Several factors can influence the cost of medical procedures. These include the provider's specific charges, the geographic location (costs often vary by city and state), the type of facility (e.g., hospital vs. outpatient clinic), your insurance plan and its negotiated rates, whether the provider is in-network or out-of-network, and the complexity and duration of the procedure itself. Understanding these factors can help you anticipate potential expenses.

CPT 11102 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Single Lesion

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Integumentary System
Common Place of Service	11 - Office 19 - Off Campus Outpatient Hospital
Common Modifiers	None 59 - Distinct Procedural Service XS - Separate Structure
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 11102
Medicaid Fee Schedule	View Medicaid rates for 11102

National average reimbursement for CPT 11102 by major payers:

$113.77

$129.47

$127.77

$168.26

Compare published rates across providers.

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CPT 11102

5 of 25 sample ratesHigher to lower in this preview

Farooq Shahzad
Memorial Medical Care PC
ILPlastic and Reconstructive Surgery PhysicianNPI 1104018225Tax ID 35-2491455
$615.62Published rate
Aaron Mason
Banner-University Medical Group
COPlastic and Reconstructive Surgery PhysicianNPI 1497775852Tax ID 94-2958258
$215.01Published rate
Michele Tartaglia
Virtua Medical Group PA
NJObstetrics & Gynecology PhysicianNPI 1184645962Tax ID 27-1348772
$175.26Published rate
Dermatology And Plastic Surgery Associates, S.C.
Pinnacle Dermatology Management LLC
ILProcedural Dermatology PhysicianNPI 1700987328Tax ID 43-2036896
$102.85Published rate
Mohamed Elagami
Ccmma Nj LLC
NJInternal Medicine PhysicianNPI 1417440439Tax ID 81-3879476
$57.45Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

This code appears in 1 published specialty market.

Explore state-level rates by specialty

CPT 11102 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 11102 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 11102 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
11102-CPT	Low	Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Single Lesion
11103-CPT	Low	Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Each Separate/Additional Lesion (List Separately In Addition To Code For Primary Procedure)
11104-CPT	Low	Punch Biopsy Of Skin (Including Simple Closure When Performed), Punch Biopsy Of Skin (Including Simple Closure When Performed); Single Lesion
11105-CPT	Low	Punch Biopsy Of Skin (Includin, Punch Biopsy Of Skin (Including Simple Closure When Performed) Each Separateadditional Lesion (List Separately In Addition To Code For Primary Procedure)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 11102 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 11102 Fee Schedule

Farooq Shahzad

Aaron Mason

Michele Tartaglia

Dermatology And Plastic Surgery Associates, S.C.

Mohamed Elagami