How much does Medicare pay for CPT 11057?

Medicare allowed an average of $87.46 per service and paid $64.59 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $149.89, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11057?

Removal of noncancer thickened skin growth, more than 4 growths. It was billed 279,043 times to 119,841 Medicare beneficiaries by 2,462 providers in 2024.

Does 11057 pay differently in an office than a hospital?

Yes. The allowed amount averaged $88.34 in an office setting and $26.54 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 11057 most?

Podiatry, with 266,732 services from 2,405 clinicians. Next are Nurse Practitioner, Physician Assistant, Family Practice.

CPT 11057

Removal of noncancer thickened skin growth, more than 4 growths

$87.46Medicare-allowed amount per service, averaged across 279,043 services

Providers submitted

$149.89

Asking price, not received

Medicare allowed

$87.46

The fee schedule figure

Medicare paid

$64.59

Balance is patient coinsurance

Providers submitted an average of $149.89 for this code and Medicare allowed $87.46 — 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 $64.59 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $88.34
Hospital / facility: $26.54

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. 275,067 services were billed in an office setting and 3,976 in a facility.

Services: 279,043
Beneficiaries: 119,841
Providers billing it: 2,462
Total allowed: $24,405,101

What Medicare pays for CPT 11057

Across 279,043 services billed by 2,462 providers to 119,841 beneficiaries, Medicare allowed an average of $87.46 per service. That is 2.3 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 11057

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	266,732	111,182	$88.35	2,405
Nurse Practitioner	10,920	7,619	$67.43	48
Physician Assistant	1,236	963	$70.77	6
Family Practice	111	56	$82.69	2
Preventive Medicine	44	21	$102.74	1

11057 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
California	39,091	$97.42	$63.63	353
New York	31,692	$95.18	$64.51	247
New Jersey	28,338	$96.38	$66.04	194
Pennsylvania	26,012	$81.49	$60.38	219
Florida	19,239	$84.98	$63.21	154
Illinois	16,024	$83.07	$60.98	129
North Carolina	12,989	$74.58	$59.75	60
Massachusetts	11,392	$87.75	$61.90	86
Maryland	11,006	$90.09	$62.05	109
Texas	7,830	$75.42	$58.72	80
Connecticut	6,809	$92.24	$64.77	42
Virginia	6,807	$88.75	$61.76	51
Arizona	5,833	$82.78	$63.50	66
Kansas	4,330	$69.67	$55.23	32
Ohio	4,270	$81.02	$61.27	45
Michigan	4,255	$81.73	$61.50	59
Washington	3,605	$91.90	$63.10	43
South Carolina	3,505	$76.42	$60.93	24
Missouri	3,264	$80.19	$61.88	38
Oregon	3,043	$87.54	$61.60	34
Indiana	2,658	$78.41	$62.43	34
Utah	2,420	$79.35	$60.74	36
Oklahoma	2,243	$75.68	$65.54	12
Georgia	2,149	$81.54	$63.83	37
Iowa	1,729	$77.69	$60.33	21
Alabama	1,694	$75.75	$61.70	20
Minnesota	1,565	$86.78	$61.72	22
Nevada	1,424	$82.11	$63.55	17
Delaware	1,409	$87.29	$63.00	13
Tennessee	1,399	$78.52	$62.02	25
Colorado	1,385	$79.56	$58.80	15
Rhode Island	1,186	$85.89	$62.29	14
Wisconsin	1,124	$73.88	$53.90	25
Nebraska	1,112	$76.59	$62.25	11
Kentucky	852	$76.31	$62.02	12
New Mexico	709	$81.58	$63.03	10
District of Columbia	644	$96.40	$65.16	5
Louisiana	618	$79.29	$62.87	11
Arkansas	596	$76.70	$63.53	8
Montana	472	$85.54	$57.25	11
West Virginia	431	$75.07	$60.08	6
South Dakota	409	$77.32	$56.57	7
Idaho	406	$61.29	$49.67	6
Mississippi	341	$73.97	$62.73	3
Wyoming	158	$86.62	$62.00	3
Maine	154	$86.59	$63.99	4
New Hampshire	114	$89.59	$62.77	2
North Dakota	88	$85.81	$63.76	2
Hawaii	76	$99.03	$63.48	2
Alaska	74	$103.88	$66.40	1
XX	49	$89.13	$68.15	1
Vermont	21	$87.62	$61.56	1

Related codes

11042Removal of skin and tissue$84.31
11056Removal of noncancer thickened skin growth$79.85
11055Removal of noncancer thickened skin growth$66.64
11043Removal of muscle and/or tissue$193.00
11045Removal of skin and tissue$28.86
11046Removal of muscle and/or tissue$62.70
11044Removal of bone$273.61
11047Removal of bone$109.02
11000Removal of inflamed or infected skin$50.90

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.