How much does Medicare pay for CPT 10060?

Medicare allowed an average of $124.11 per service and paid $91.95 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $214.18, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 10060?

Simple or single drainage of skin abscess. It was billed 115,699 times to 92,951 Medicare beneficiaries by 3,215 providers in 2024.

Does 10060 pay differently in an office than a hospital?

Yes. The allowed amount averaged $124.58 in an office setting and $97.83 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 10060 most?

Podiatry, with 64,084 services from 1,230 clinicians. Next are Dermatology, Physician Assistant, Nurse Practitioner.

CPT 10060

Simple or single drainage of skin abscess

$124.11Medicare-allowed amount per service, averaged across 115,699 services

Providers submitted

$214.18

Asking price, not received

Medicare allowed

$124.11

The fee schedule figure

Medicare paid

$91.95

Balance is patient coinsurance

Providers submitted an average of $214.18 for this code and Medicare allowed $124.11 — 1.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $91.95 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $124.58
Hospital / facility: $97.83

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 113,662 services were billed in an office setting and 2,037 in a facility.

Services: 115,699
Beneficiaries: 92,951
Providers billing it: 3,215
Total allowed: $14,359,403

What Medicare pays for CPT 10060

Across 115,699 services billed by 3,215 providers to 92,951 beneficiaries, Medicare allowed an average of $124.11 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 10060

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	64,084	46,644	$126.07	1,230
Dermatology	36,918	33,334	$127.39	1,310
Physician Assistant	7,358	6,975	$106.52	375
Nurse Practitioner	4,310	3,566	$96.87	174
Family Practice	1,308	846	$127.82	40
Internal Medicine	394	352	$123.64	21
Micrographic Dermatologic Surgery	314	299	$117.01	8
Emergency Medicine	279	258	$131.02	15
Ophthalmology	198	181	$123.96	10
General Surgery	178	169	$120.42	13
General Practice	163	145	$124.95	7
Plastic and Reconstructive Surgery	62	59	$95.45	4
Oral Surgery (Dentist only)	29	25	$66.37	1
Pathology	26	25	$133.37	2
Undersea and Hyperbaric Medicine	24	20	$102.25	1

10060 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	18,491	$138.05	$92.18	397
California	18,304	$128.75	$87.07	407
Florida	14,792	$118.84	$87.82	376
New Jersey	8,089	$134.72	$90.84	221
Michigan	6,580	$123.06	$90.52	152
Pennsylvania	6,101	$120.38	$89.77	168
Texas	4,213	$116.13	$86.54	163
Illinois	4,045	$121.84	$90.12	111
Maryland	3,460	$129.24	$89.16	106
Virginia	3,169	$117.73	$87.07	73
Ohio	2,954	$114.46	$88.72	83
Georgia	2,891	$112.59	$82.38	114
Massachusetts	2,614	$124.82	$88.47	76
Arizona	2,561	$121.51	$87.91	75
North Carolina	1,529	$110.39	$83.73	76
Nevada	1,446	$116.81	$89.76	23
Louisiana	1,355	$110.25	$83.62	51
Connecticut	1,345	$128.69	$88.92	36
South Carolina	1,237	$111.41	$86.20	58
Missouri	1,031	$112.47	$87.85	40
Tennessee	1,023	$106.12	$87.64	43
Alabama	907	$103.34	$85.13	34
Indiana	859	$107.86	$85.84	26
Iowa	640	$110.11	$84.17	27
Kentucky	496	$100.09	$77.89	22
Arkansas	417	$105.41	$84.19	18
Oklahoma	415	$113.00	$88.00	24
Rhode Island	396	$123.77	$92.38	13
Kansas	394	$104.93	$81.16	14
Washington	394	$115.78	$78.82	24
Mississippi	384	$102.77	$83.75	19
Colorado	381	$124.98	$88.23	17
Utah	362	$116.12	$82.83	15
Delaware	341	$114.58	$80.96	13
Nebraska	259	$108.46	$84.61	12
Hawaii	252	$123.02	$83.26	14
South Dakota	237	$66.87	$51.07	3
Wisconsin	233	$111.25	$84.57	14
New Mexico	177	$114.59	$82.52	6
Oregon	169	$119.73	$86.07	10
West Virginia	150	$109.47	$90.34	6
District of Columbia	134	$142.30	$89.59	6
Idaho	131	$104.40	$71.01	8
New Hampshire	108	$124.86	$84.34	6
Minnesota	85	$120.94	$85.95	6
Wyoming	62	$112.41	$88.11	4
XX	32	$123.67	$96.57	1
Montana	23	$116.87	$78.98	2
Puerto Rico	20	$104.47	$91.14	1
Maine	11	$111.40	$95.26	1

Related codes

10005Fine needle aspiration biopsy$99.08
10061Complicated or multiple drainage of skin abscess$210.58
10040Acne surgery$109.41
10006Fine needle aspiration biopsy$56.90
10021Fine needle aspiration biopsy$74.12

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.