ほくろ除去の費用はいくら？
Mole removal is a procedure to excise or shave off a mole (nevus) from the skin. It may be performed for cosmetic reasons or when a mole appears suspicious and requires biopsy to rule out melanoma.
保険なし
$400
保険あり
$75
メディケア
$60
全国平均
$178
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: American Academy of Dermatology (AAD) 2025 · Methodology · Editorial standards 概要
Mole removal is a short in-office procedure performed by a dermatologist, typically under local anesthesia, to either biopsy a suspicious lesion (rule out melanoma) or remove a benign mole for cosmetic reasons. Two main techniques are used: shave removal (a horizontal slice with a blade for raised surface lesions) and excision with sutures (a full-thickness elliptical cut that removes the lesion and a narrow margin of surrounding skin). Each method has distinct CPT codes, and the fee depends on the lesion's size and body location. When the lesion is removed for medical concern, the tissue is sent to pathology and the pathology lab generates a separate charge for interpretation. Insurance coverage hinges entirely on whether the removal is medically indicated (suspicious appearance, irritation, bleeding) or cosmetic — the latter is generally not covered and is billed as self-pay. Cosmetic cash pricing varies widely between dermatology offices.
費用に影響する要素
- Medical vs cosmetic indication: insurance covers medically necessary removals; purely cosmetic removals are patient-paid out of pocket.
- Removal technique: shave excisions are cheaper than full-thickness excisions with sutures; complex closures or flaps cost more.
- Lesion size and location: larger lesions and lesions on cosmetically sensitive areas (face, neck) are billed at higher rates.
- Number of lesions: each additional lesion adds a separate CPT code, often with multiple-procedure discounting.
- Pathology: tissue submitted for pathology adds a separate specimen fee per jar.
- Site of service: hospital-affiliated dermatology clinics charge a facility fee that independent dermatology offices don't.
節約方法
- If a mole is being removed for cosmetic reasons, expect to pay out of pocket and ask the dermatology office for cash-pay pricing up front.
- For medically indicated removals, confirm the office is in-network and the pathology lab is in-network to avoid surprise bills.
- Ask whether shave removal is clinically acceptable; it's typically less expensive than full excision with sutures.
- Choose an independent dermatology office over a hospital-affiliated clinic to avoid facility fees.
- Use your HSA or FSA for medically necessary removals; purely cosmetic removals generally do not qualify.
- Community health centers sometimes offer lower-fee dermatology for uninsured patients.
保険とカバレッジに関する注意事項
Medicare Part B and commercial plans cover mole removal when the procedure is medically necessary — a lesion that is changing, bleeding, painful, or suspicious for skin cancer. Documentation by the dermatologist drives coverage, and the pathology report supports the claim. Prior authorization is generally not required. Patients owe 20% coinsurance under Medicare after the Part B deductible; commercial cost-sharing applies after deductible. Cosmetic removals — of benign moles for appearance reasons — are not covered and are patient-paid. Expect separate line items for the procedure and the pathology interpretation when tissue is submitted for lab review.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- American Academy of Dermatology (AAD) 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $292 to $552 · 50 states shown
州別費用
| 州 | 保険なし | 保険あり | メディケア |
|---|---|---|---|
| Mississippi | $292 | $55 | $44 |
| Arkansas | $300 | $56 | $45 |
| West Virginia | $300 | $56 | $45 |
| Alabama | $312 | $59 | $47 |
| Oklahoma | $312 | $59 | $47 |
| Kentucky | $340 | $64 | $51 |
| Louisiana | $344 | $65 | $52 |
| Iowa | $352 | $66 | $53 |
| New Mexico | $352 | $66 | $53 |
| South Carolina | $352 | $66 | $53 |
| South Dakota | $352 | $66 | $53 |
| Kansas | $356 | $67 | $53 |
| North Dakota | $356 | $67 | $53 |
| Idaho | $360 | $68 | $54 |
| Nebraska | $360 | $68 | $54 |
| Tennessee | $360 | $68 | $54 |
| Indiana | $372 | $70 | $56 |
| Missouri | $372 | $70 | $56 |
| Utah | $372 | $70 | $56 |
| Wyoming | $372 | $70 | $56 |
| Georgia | $376 | $71 | $56 |
| North Carolina | $376 | $71 | $56 |
| Michigan | $380 | $71 | $57 |
| Montana | $380 | $71 | $57 |
| Arizona | $392 | $74 | $59 |
| Ohio | $392 | $74 | $59 |
| Wisconsin | $392 | $74 | $59 |
| Maine | $396 | $74 | $59 |
| Texas | $396 | $74 | $59 |
| Florida | $404 | $76 | $61 |
| Minnesota | $404 | $76 | $61 |
| Illinois | $412 | $77 | $62 |
| Pennsylvania | $412 | $77 | $62 |
| Delaware | $416 | $78 | $62 |
| Nevada | $416 | $78 | $62 |
| Vermont | $416 | $78 | $62 |
| Virginia | $416 | $78 | $62 |
| Colorado | $424 | $80 | $64 |
| New Hampshire | $424 | $80 | $64 |
| Oregon | $424 | $80 | $64 |
| Maryland | $440 | $83 | $66 |
| Rhode Island | $444 | $83 | $67 |
| Washington | $444 | $83 | $67 |
| Connecticut | $480 | $90 | $72 |
| New Jersey | $480 | $90 | $72 |
| California | $528 | $99 | $79 |
| Massachusetts | $532 | $100 | $80 |
| Alaska | $540 | $101 | $81 |
| New York | $540 | $101 | $81 |
| Hawaii | $552 | $103 | $83 |
よくある質問
保険なしでほくろ除去はいくらかかりますか？
米国でのほくろ除去の保険なし平均費用は$400です。州によって費用は大きく異なります。
保険はほくろ除去をカバーしますか？
ほとんどの医療保険は、医学的に必要な場合にほくろ除去をカバーします。保険適用時の平均自己負担額は$75です。
メディケアはほくろ除去をカバーしますか？
メディケアパートBは通常、医師の処方がある場合にほくろ除去をカバーします。メディケア承認の平均額は$60です。
Elena Bellini による確認 · 最終確認日：2026-04-21
データ出典：American Academy of Dermatology (AAD) 2025。最終更新：2026-03-01。この情報は教育目的のみであり、医療アドバイスではありません。 本ウェブサイトは情報提供のみを目的としており、医療アドバイスではありません。必ず資格のある医療専門家にご相談ください。