Pricing of excision procedures
Pricing for excision procedures is complicated. We can usually provide a price estimate for your procedure, but in many cases the fee can only be finalised after pathology results are available.

An excision is a procedure where the doctor surgically removes some skin and then closes the defect (hole) using stitches.

Excisions vary widely. Some of the variables include:

  • Size
  • Body location
  • Number of stitches and layers of stitches
  • Amount and type of supplies, drugs, equipment and dressings used
  • Time taken to perform the procedure
  • Amount of follow-up required after the excision

We can predict some of these variables before the procedure, but some are unknown. This means we can provide an estimated quote for a procedure, but the final amount will sometimes be different.

In most cases, the cost of an excision procedure is subsidised by Medicare (for Australian citizens). Our fee for an excision is calculated so that the amount paid by Medicare is approximately half of the total. The amount paid by Medicare varies according to the location on the body and size of the excision, as well as the pathology result. This means that the Medicare rebate — and the total fee — is unknown until after the procedure. (See examples below.)

As a rough guide, the most common fee we charge is about $180. This fee applies if:

  • The size of the excision is less than 15 mm
  • The location is not on the face, lower leg, or other cosmetically/technically challenging areas
  • The pathology result is not skin cancer.

In cases where the pathology result diagnoses a skin cancer, or where the procedure is in other locations, or the size is larger, the fee will be higher. For example, the fee for excision of a large melanoma may be more than $600.

We will be able to advise the total fee when your pathology results are available. This is normally 4-5 days after your procedure. When the total fee is known, we will contact you to arrange payment.

In most cases, there is no out of pocket expense charged for pensioners, Health Care Card holders or children under 18. Note: You must present a current and valid Pensioner Concession Card or Health Care Card when you attend for your appointment. Discounts are offered at our discretion and may be withheld for patients who have previously missed appointments or cancelled at late notice.

Pricing tables

All fees include aftercare for the procedure, including removal of stitches, dressing changes, management of complications such as infection, bruising or bleeding. (Elective low level light therapy to enhance wound healing is not included.)

Notes

  • Medicare rebates as at 1 August 2021. For more up-to-date information, follow the item number links to the MBS Online website.
  • These prices are exclusive of fees for skin flap or graft procedures, which will be added to the amount specified.
  • In most cases, if a wider re-excision procedure is required, there will be no out of pocket expense for the procedure.

Moles and other benign (non-cancer) lesions

Anatomical location Size of excision Standard fee Medicare rebate Medicare item number
Body (not otherwise specified) < 15 mm 180.00 84.45 31366
15-30 mm 230.00 111.05 31368
> 30 mm 280.00 127.00 31370
Face, neck, scalp, leg (below knee), nipple, wrist, hand, foot < 14 mm 240.00 118.45 31362
≥ 14 mm 300.00 148.65 31364
Nose, ear, lip, finger, thumb, genitals, eyelid, eyebrow < 6 mm 250.00 97.00 31357

≥ 6 mm 330.00 148.65 31360

Basal cell carcinoma, squamous cell carcinoma, other non-melanoma skin cancers

Anatomical location Size of excision Standard fee Medicare rebate Medicare item number
Body (not otherwise specified) < 15 mm 280.00 140.00 31365
15-30 mm 380.00 188.95 31367
> 30 mm 440.00 217.55 31369
Face, neck, scalp, leg (below knee), nipple, wrist, hand < 14 mm 340.00 165.20 31361
≥ 14 mm 440.00 216.05 31363
Nose, ear, lip, finger, thumb, genitals, eyelid, eyebrow < 6 mm 400.00 195.80 31356

≥ 6 mm 480.00 239.60 31358

Melanoma

Anatomical location Size of excision Standard fee Medicare rebate Medicare item number
Body (not otherwise specified) < 15 mm 500.00 249.35 31374
15-30 mm 540.00 268.35 31375
> 30 mm 620.00 311.00 31376
Face, neck, scalp, leg (below knee), nipple, wrist, hand < 14 mm 550.00 273.05 31372
≥ 14 mm 640.00 315.60 31373
Nose, ear, lip, finger, thumb, genitals, eyelid, eyebrow ≥ 6 mm 640.00 315.75 31371

References

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