How Much Does Mohs Surgery Cost?

When people are diagnosed with skin cancer, one of the first questions they ask is, “How much does Mohs surgery cost?” This is an important question — both financially and medically — because Mohs micrographic surgery is one of the most effective and precise treatments available for certain types of skin cancer. At Valley Dermatology & Skin Cancer Center in Spokane, our board-certified dermatologist specializes in performing Mohs surgery with exceptional accuracy, ensuring maximum cancer removal and minimal tissue loss. 

Introduction to Mohs Surgery & Its Benefits

Before breaking down Mohs surgery cost, it’s helpful to understand what the procedure involves and why it’s often considered the gold standard for treating certain skin cancers.

Mohs surgery is a specialized, step-by-step technique used to remove skin cancers, particularly basal cell carcinoma and squamous cell carcinoma, while preserving as much healthy tissue as possible. The process involves removing thin layers of tissue and examining them under a microscope in real-time until all cancerous cells are gone.

The main advantages of Mohs surgery include:

Highest Cure Rate

Up to 99% success rate for new cancers and 94% for recurrent ones.

Tissue Preservation

The surgeon removes only the cancerous tissue, leaving healthy skin intact.

Cosmetic Precision

Particularly beneficial for visible areas like the face, ears and neck.

Immediate Results

The cancer margins are analyzed during the procedure, so you know the outcome that same day.

Average Cost

The average Mohs surgery cost in the United States typically ranges from $1,000 to $3,000 per stage, depending on several variables. However, this figure can vary widely based on factors like the location of the treatment facility, the complexity of the case, whether pathology and reconstruction are performed on the same day, and the type of insurance coverage you have.

Here’s a general estimate of potential expenses:

• One-stage Mohs surgery: $1,000 – $2,500
• Two-stage Mohs surgery: $2,500 – $4,000
• Three or more stages: $4,000 – $7,000+

It’s important to note that each “stage” refers to a cycle of tissue removal and microscopic examination. Most patients require only one or two stages, but deeper or more complex lesions may take longer to fully remove.

At Valley Dermatology, our dermatologic surgeon is highly experienced in performing Mohs surgery efficiently while ensuring accuracy and optimal cosmetic results, helping keep overall costs manageable without compromising care quality.

Factors That Affect the Cost

While there’s an average range, Mohs surgery cost can vary from patient to patient. Several key factors influence the final cost of treatment:

1. Location of the Practice

Healthcare costs vary across regions. In metropolitan or high-demand areas, procedure costs may be higher than in smaller cities or rural clinics. Patients in Spokane Valley, for example, often find Mohs surgery at Valley Dermatology more affordable compared to large hospital systems in major cities.

2. Size and Location of the Lesion

The larger or more complicated the skin cancer, the more time and expertise are required to ensure complete removal. Lesions on the face, nose, lips, or ears can be more challenging to treat because of cosmetic and structural considerations, which may increase both time and cost.

3. Number of Stages Required

Each additional stage involves tissue removal, laboratory analysis and microscopic review. If cancer extends deeper than initially expected, additional stages are performed until the margins are clear — naturally raising the total Mohs Surgery Cost.

4. Surgeon’s Experience & Credentials

Mohs surgery is a highly specialized field requiring additional training beyond general dermatology. Surgeons with fellowship training in Mohs micrographic surgery often have higher procedure fees, but their advanced expertise translates into higher precision, fewer complications and superior aesthetic results.

5. Reconstruction or Follow-Up Care

In some cases, reconstruction (stitches, skin grafts, or flaps) may be required immediately following Mohs surgery to restore natural appearance. The complexity of reconstruction and anesthesia can add to the total cost of Mohs surgery, but it ensures optimal cosmetic and functional outcomes.

Does Insurance Cover Mohs Surgery?

The good news for patients concerned about Mohs Surgery Cost is that most insurance plans cover it — including Medicare and private insurance providers. Mohs surgery is considered a medically necessary procedure when used to treat skin cancer, which means insurance typically covers a significant portion of the cost.

However, out-of-pocket expenses can depend on:

• Your deductible and copay
• Network status (in-network vs. out-of-network providers)
• Pathology fees (some plans bill pathology separately)

Additional Costs to Consider

While the Mohs procedure itself represents the main cost, patients should be aware of potential additional fees, such as:

• Consultation and pathology
• Post-operative wound care supplies
• Reconstructive surgery (if needed)
• Follow-up appointments

Fortunately, these are typically modest compared to the overall cost of skin cancer treatment and are often partially or fully covered by insurance.

FAQs

How much does Mohs surgery typically cost?

The average Mohs surgery cost ranges between $1,000 and $3,000 per stage depending on your insurance coverage and carrier. The total cost depends on how many stages are required and whether reconstruction is necessary.

What factors can influence the cost of surgery?

Key factors include the size and location of the lesion, the number of stages, the surgeon’s training and any reconstruction required afterward. At Valley Dermatology & Skin Cancer Center, we prioritize both medical excellence and financial transparency.

Is Mohs usually covered by insurance?

Yes. Most insurance plans, including Medicare, cover Mohs surgery because it’s medically necessary for skin cancer treatment. Out-of-pocket costs depend on your individual policy and deductible.

Are there additional costs beyond the procedure itself?

In some cases, there may be additional charges for pathology, wound care, or reconstruction. Your provider will review these with you before treatment.

How can I find affordable Mohs surgery providers?

Choosing an experienced Mohs surgeon in-network with your insurance is the best way to manage cost and ensure quality care. Valley Dermatology offers competitive pricing and comprehensive patient support to make treatment accessible.

Why Choose Valley Dermatology & Skin Cancer Center for Mohs Surgery

When it comes to Mohs surgery, choosing a highly skilled and experienced surgeon is the most important factor in achieving the best possible outcome. This precise procedure requires expertise, attention to detail, and a deep understanding of both dermatology and reconstructive techniques.

At Valley Dermatology and Skin Cancer Center, our board-certified surgeon, Dr. Scott Smith, is specially trained in Mohs micrographic surgery — ensuring complete cancer removal while preserving as much healthy tissue as possible. This level of precision not only delivers the highest cure rates but also promotes optimal cosmetic results and long-term peace of mind. Connect with us today to schedule your appointment.