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Transparency in Healthcare

Fee Schedule

We believe patients deserve to know what care costs. Below are our 2026 self-pay rates for all procedures, listed by CPT code. Insurance patients may owe significantly less depending on their plan.

Important: These are our standard self-pay / cash-pay rates effective 2026. If you have insurance, your actual out-of-pocket cost (copay, coinsurance, or deductible) will depend on your specific plan and benefits. Many procedures are covered in full or in part. Call us at (507) 206-3211 for a personalized estimate. For surgical procedures, exact coding depends on lesion size and complexity as determined at the time of service.
Office Visits Telehealth Biopsies Skin Tags Shave Removals Excisions — Benign Excisions — Malignant Wound Repairs Mohs Surgery Tissue Transfers Skin Grafts Destruction Nail Procedures Lipoma / Deep Injections Cosmetic Self-Pay Packages

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Office Visits

E/M
CPT CodeDescriptionFee
99202New patient, straightforward visit$160
99203New patient, low complexity visit$245
99204New patient, moderate complexity visit$365
99205New patient, high complexity visit$485
99211Established patient, nurse visit$50
99212Established patient, straightforward visit$125
99213Established patient, low complexity visit$200
99214Established patient, moderate complexity visit$280
99215Established patient, high complexity visit$395

Telehealth & Phone Visits

CPT CodeDescriptionFee
99203.95Telehealth new patient, low complexity$245
99214.95Telehealth established patient, moderate complexity$280
99421Online digital E/M, 5–10 min$25
99422Online digital E/M, 11–20 min$50
99423Online digital E/M, 21+ min$85
99441Phone E/M, 5–10 min$100
99442Phone E/M, 11–20 min$165
99443Phone E/M, 21–30 min$230
G2010Remote image submitted by patient$20
G2012Brief check-in by MD$25
G2250Remote image submit, non-E/M$20
G2251Brief check-in 5–10 min, non-E/M$25

Biopsies

CPT CodeDescriptionFee
11102Tangential (shave) biopsy, single lesion$225
11103Tangential biopsy, each additional lesion$110
11104Punch biopsy, single lesion$280
11105Punch biopsy, each additional lesion$130
11106Incisional biopsy, single lesion$345
11107Incisional biopsy, each additional lesion$160
SP11102Self-pay biopsy Self-Pay$225
SP11103Self-pay additional biopsy Self-Pay$110
10040Acne surgery (comedone extraction)$260

Skin Tags & Callus Treatment

CPT CodeDescriptionFee
11200Removal of skin tags, up to 15$205
11201Skin tag removal, each additional$40
SP11200Self-pay skin tag removal Self-Pay$205
11055Paring/cutting of callus, 1 lesion$140
11056Paring/cutting of callus, 2–4 lesions$160
11057Paring/cutting of callus, 5+ lesions$175

Shave Removals

CPT CodeDescriptionFee
Benign lesions (trunk / extremities)
11300Shave removal, benign, ≤0.5 cm$225
11301Shave removal, benign, 0.6–1.0 cm$270
11302Shave removal, benign, 1.1–2.0 cm$305
11303Shave removal, benign, >2.0 cm$340
Intermediate lesions (scalp / neck / hand / foot)
11305Shave removal, intermediate, ≤0.5 cm$235
11306Shave removal, intermediate, 0.6–1.0 cm$275
11307Shave removal, intermediate, 1.1–2.0 cm$310
11308Shave removal, intermediate, >2.0 cm$325
Face / ear / eyelid / lip / nose
11310Shave removal, face/ear, ≤0.5 cm$260
11311Shave removal, face/ear, 0.6–1.0 cm$305
11312Shave removal, face/ear, 1.1–2.0 cm$350
11313Shave removal, face/ear, >2.0 cm$405

Excisions — Benign

Moles / Cysts
CPT CodeDescriptionFee
Trunk / Extremities
11400Excision, trunk/extremity, benign, ≤0.5 cm$285
11401Excision, trunk/extremity, benign, 0.6–1 cm$350
11402Excision, trunk/extremity, benign, 1.1–2 cm$385
11403Excision, trunk/extremity, benign, 2.1–3 cm$440
11404Excision, trunk/extremity, benign, 3.1–4 cm$500
11406Excision, trunk/extremity, benign, >4 cm$710
Hand / Foot / Neck / Scalp
11420Excision, hand/foot/neck/scalp, benign, ≤0.5 cm$285
11421Excision, hand/foot/neck/scalp, benign, 0.6–1 cm$355
11422Excision, hand/foot/neck/scalp, benign, 1.1–2 cm$400
11423Excision, hand/foot/neck/scalp, benign, 2.1–3 cm$455
11424Excision, hand/foot/neck/scalp, benign, 3.1–4 cm$525
11426Excision, hand/foot/neck/scalp, benign, >4 cm$735
Face
11440Excision, face, benign, ≤0.5 cm$320
11441Excision, face, benign, 0.6–1 cm$390
11442Excision, face, benign, 1.1–2 cm$430
11443Excision, face, benign, 2.1–3 cm$510
11444Excision, face, benign, 3.1–4 cm$630
11446Excision, face, benign, >4 cm$850
SP11402Self-pay excision (with modifier 51) Self-Pay$165

Excisions — Malignant

Skin Cancer
CPT CodeDescriptionFee
Trunk / Extremities
11600Excision, trunk/extremity, malignant, ≤0.5 cm$440
11601Excision, trunk/extremity, malignant, 0.6–1 cm$510
11602Excision, trunk/extremity, malignant, 1.1–2 cm$545
11603Excision, trunk/extremity, malignant, 2.1–3 cm$620
11604Excision, trunk/extremity, malignant, 3.1–4 cm$690
11606Excision, trunk/extremity, malignant, >4 cm$995
Hand / Foot / Neck / Scalp
11620Excision, hand/foot/neck/scalp, malignant, ≤0.5 cm$445
11621Excision, hand/foot/neck/scalp, malignant, 0.6–1 cm$510
11622Excision, hand/foot/neck/scalp, malignant, 1.1–2 cm$560
11623Excision, hand/foot/neck/scalp, malignant, 2.1–3 cm$660
11624Excision, hand/foot/neck/scalp, malignant, 3.1–4 cm$750
11626Excision, hand/foot/neck/scalp, malignant, >4 cm$905
Face / Ear / Eyelid / Lip
11640Excision, face/ear/eyelid/lip, malignant, ≤0.5 cm$450
11641Excision, face/ear/eyelid/lip, malignant, 0.6–1 cm$530
11642Excision, face/ear/eyelid/lip, malignant, 1.1–2 cm$595
11643Excision, face/ear/eyelid/lip, malignant, 2.1–3 cm$700
11644Excision, face/ear/eyelid/lip, malignant, 3.1–4 cm$865
11646Excision, face/ear/eyelid/lip, malignant, >4 cm$1,120
SP11602Self-pay malignant excision (with modifier 51) Self-Pay$230

Wound Repairs

Post-Excision

Repair codes may be billed in addition to excision when complex closure is required.

CPT CodeDescriptionFee
Intermediate Repair — Scalp / Arm / Trunk
12031Intermediate repair, scalp/arm/trunk, ≤2.5 cm$585
12032Intermediate repair, scalp/arm/trunk, 2.6–7.5 cm$675
12034Intermediate repair, scalp/arm/trunk, 7.6–12.5 cm$745
12035Intermediate repair, scalp/arm/trunk, 12.6–20 cm$870
12036Intermediate repair, scalp/arm/trunk, 20.1–30 cm$965
12037Intermediate repair, scalp/arm/trunk, >30 cm$1,080
Intermediate Repair — Neck / Hand / Foot
12041Intermediate repair, neck/hand/foot, ≤2.5 cm$590
12042Intermediate repair, neck/hand/foot, 2.6–7.5 cm$690
12044Intermediate repair, neck/hand/foot, 7.6–12.5 cm$850
12045Intermediate repair, neck/hand/foot, 12.6–20 cm$925
12046Intermediate repair, neck/hand/foot, 20.1–30 cm$1,115
12047Intermediate repair, neck/hand/foot, >30 cm$1,220
Intermediate Repair — Face
12051Intermediate repair, face, ≤2.5 cm$635
12052Intermediate repair, face, 2.6–5 cm$705
12053Intermediate repair, face, 5.1–7.5 cm$815
12054Intermediate repair, face, 7.6–12.5 cm$860
12055Intermediate repair, face, 12.6–20 cm$1,135
12056Intermediate repair, face, 20.1–30 cm$1,295
12057Intermediate repair, face, >30 cm$1,360
Complex Repair — Trunk
13100Complex repair, trunk, 1.1–2.5 cm$760
13101Complex repair, trunk, 2.6–7.5 cm$885
13102Complex repair, trunk, each additional 5 cm$260
Complex Repair — Scalp / Arm / Leg
13120Complex repair, scalp/arm/leg, 1.1–2.5 cm$795
13121Complex repair, scalp/arm/leg, 2.6–7.5 cm$950
13122Complex repair, scalp/arm/leg, each additional 5 cm$285
Complex Repair — Face / Chest / Axilla
13131Complex repair, face/chest/axilla, 1.1–2.5 cm$865
13132Complex repair, face/chest/axilla, 2.6–7.5 cm$1,050
13133Complex repair, face/chest/axilla, each additional 5 cm$375
Complex Repair — Eye / Nose / Ear / Lip
13151Complex repair, eye/nose/ear/lip, 1.1–2.5 cm$945
13152Complex repair, eye/nose/ear/lip, 2.6–7.5 cm$1,105
13153Complex repair, eye/nose/ear/lip, each additional 5 cm$410
13160Late closure of wound$1,760
SP12032Self-pay intermediate repair Self-Pay$575

Mohs Micrographic Surgery

Skin Cancer

Most patients require 1–3 stages. Reconstruction after Mohs is billed separately based on size and complexity. Call (507) 206-3211 for a pre-surgical estimate.

CPT CodeDescriptionFee
17311Mohs, 1st stage — head/neck/hands/feet/genitals$1,505
17312Mohs, each additional stage — head/neck/hands/feet/genitals$915
17313Mohs, 1st stage — trunk/arms/legs$1,415
17314Mohs, each additional stage — trunk/arms/legs$875
17315Mohs, additional tissue block$175
88331Pathology consult (intraoperative), 1st block$225
88332Pathology consult (intraoperative), each additional$120
SP17311Self-pay Mohs, 1st stage Self-Pay$1,200

Tissue Transfers & Flaps

Reconstruction
CPT CodeDescriptionFee
14000Tissue transfer, trunk, ≤10 sq cm$1,415
14001Tissue transfer, trunk, 10.1–30 sq cm$1,800
14020Tissue transfer, scalp/arm/leg, ≤10 sq cm$1,560
14021Tissue transfer, scalp/arm/leg, 10.1–30 sq cm$1,920
14040Tissue transfer, face/chest, ≤10 sq cm$1,685
14041Tissue transfer, face/chest, 10.1–30 sq cm$2,045
14060Tissue transfer, eye/nose/ear/lip, ≤10 sq cm$1,705
14061Tissue transfer, eye/nose/ear/lip, 10.1–30 sq cm$2,205
14301Tissue transfer, any area, 30.1–60 sq cm$2,405
14302Tissue transfer, additional 30 sq cm$475

Skin Grafts

Full Thickness
CPT CodeDescriptionFee
15200Full thickness graft, trunk$1,860
15201Full thickness graft, trunk, add-on$315
15220Full thickness graft, scalp/arm/leg$1,705
15221Full thickness graft, scalp/arm/leg, add-on$290
15240Full thickness graft, face/genitals/hand/foot$2,060
15241Full thickness graft, face/genitals/hand/foot, add-on$385
15260Full thickness graft, eye/nose/ear/lip$2,210
15261Full thickness graft, eye/nose/ear/lip, add-on$455

Destruction of Lesions

Cryo / Laser
CPT CodeDescriptionFee
Precancerous Lesions (Actinic Keratoses)
17000Destruction, precancerous lesion, first$150
17003Destruction, precancerous, each additional (2–14)$15
17004Destruction, precancerous lesions, 15 or more$375
Benign Lesions (Warts, Seborrheic Keratoses)
17110Destruction, benign lesions, 1–14$255
17111Destruction, benign lesions, 15 or more$295
17340Cryotherapy of skin$115
17250Chemical cauterization of granulation tissue$195
Malignant Lesions — Trunk / Extremities
17260Destruction, malignant, trunk/extremity, ≤0.5 cm$220
17261Destruction, malignant, trunk/extremity, 0.6–1 cm$330
17262Destruction, malignant, trunk/extremity, 1.1–2 cm$395
17263Destruction, malignant, trunk/extremity, 2.1–3 cm$430
17264Destruction, malignant, trunk/extremity, 3.1–4 cm$460
17266Destruction, malignant, trunk/extremity, >4 cm$525
Malignant Lesions — Scalp / Hand / Foot
17270Destruction, malignant, scalp/hand/foot, ≤0.5 cm$335
17271Destruction, malignant, scalp/hand/foot, 0.6–1 cm$370
17272Destruction, malignant, scalp/hand/foot, 1.1–2 cm$420
17273Destruction, malignant, scalp/hand/foot, 2.1–3 cm$465
17274Destruction, malignant, scalp/hand/foot, 3.1–4 cm$545
17276Destruction, malignant, scalp/hand/foot, >4 cm$630
Malignant Lesions — Face
17280Destruction, malignant, face, ≤0.5 cm$310
17281Destruction, malignant, face, 0.6–1 cm$400
17282Destruction, malignant, face, 1.1–2 cm$455
17283Destruction, malignant, face, 2.1–3 cm$540
17284Destruction, malignant, face, 3.1–4 cm$615
17286Destruction, malignant, face, >4 cm$785
Laser Treatment
96920Laser treatment, <250 sq cm$395
96921Laser treatment, 250–500 sq cm$400
96922Laser treatment, >500 sq cm$550
SP17110Self-pay destruction of lesions Self-Pay$255

Nail Procedures

CPT CodeDescriptionFee
11719Nail trimming$30
11720Nail debridement, 1–5 nails$75
11721Nail debridement, 6+ nails$100
11730Nail plate removal$255
11732Nail plate removal, additional nail$75
11740Drain blood from under nail (subungual hematoma)$125
11750Nail bed removal$355
11755Nail biopsy$270
11760Nail bed repair$415
11762Nail bed reconstruction$640
11765Ingrown toenail excision (nail fold)$365

Lipoma & Deep Tissue Excision

CPT CodeDescriptionFee
21555Excision, neck lipoma, <3 cm$1,125
21930Excision, back lesion, SC, <3 cm$1,185
21931Excision, back lesion, SC, ≥3 cm$1,425
22902Excision, abdominal lesion, SC, <3 cm$1,110
22903Excision, abdominal lipoma, >3 cm$1,330
24075Excision, arm/elbow, SC, <3 cm$1,255
24071Excision, arm/elbow, SC, ≥3 cm$1,495
25075Excision, forearm, SC, <3 cm$1,230
25071Excision, forearm, SC, ≥3 cm$1,475
27047Excision, hip/pelvis, SC, <3 cm$1,160
27043Excision, hip/pelvis, SC, ≥3 cm$1,385
27327Excision, thigh/knee, SC, <3 cm$1,180
27337Excision, thigh/knee, SC, ≥3 cm$1,410
SP21931Self-pay back excision Self-Pay$1,210

Intralesional Injections

Cortisone / Antigen
CPT CodeDescriptionFee
11900Intralesional injection, up to 7 lesions$125
11901Intralesional injection, more than 7 lesions$155
J3301Triamcinolone injection, per 10 mg$10
J3490Candida antigen (wart treatment)$380

Cosmetic Procedures

Self-Pay Only
CPT CodeDescriptionFee
BOTOX Botox, self-pay, up to 25 units $15per unit
BOTOXADD Botox, self-pay, 26+ units $10per unit
JUVEDERM Juvéderm Ultra XC, per 1 mL syringe $680per syringe

Self-Pay Packages

Cash-Pay
CPT CodeDescriptionFee
SP11102Self-pay biopsy$225
SP11103Self-pay additional biopsy$110
SP11200Self-pay skin tag removal$205
SP11402Self-pay excision with modifier 51$165
SP11602Self-pay malignant excision with modifier 51$230
SP12032Self-pay intermediate repair$575
SP17110Self-pay destruction of lesions$255
SP17311Self-pay Mohs surgery, 1st stage$1,200
SP21931Self-pay back excision$1,210
SP250Self-pay flat fee$250

Questions About Your Cost?

Our team is happy to provide a personalized estimate before your visit. We accept most major insurances and offer cash-pay discounts.

Call (507) 206-3211 Schedule Online