How much does Medicare pay for CPT 11300?

Medicare allowed an average of $65.68 per service and paid $48.08 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $207.77, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11300?

Shaving of skin growth of body, arms, or legs, 0.5 cm or less. It was billed 72,627 times to 57,447 Medicare beneficiaries by 1,619 providers in 2024.

Does 11300 pay differently in an office than a hospital?

Yes. The allowed amount averaged $66.00 in an office setting and $23.47 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 11300 most?

Dermatology, with 40,715 services from 900 clinicians. Next are Physician Assistant, Nurse Practitioner, Family Practice.

CPT 11300

Shaving of skin growth of body, arms, or legs, 0.5 cm or less

$65.68Medicare-allowed amount per service, averaged across 72,627 services

Providers submitted

$207.77

Asking price, not received

Medicare allowed

$65.68

The fee schedule figure

Medicare paid

$48.08

Balance is patient coinsurance

Providers submitted an average of $207.77 for this code and Medicare allowed $65.68 — 3.2× 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 $48.08 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $66.00
Hospital / facility: $23.47

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. 72,076 services were billed in an office setting and 551 in a facility.

Services: 72,627
Beneficiaries: 57,447
Providers billing it: 1,619
Total allowed: $4,770,141

What Medicare pays for CPT 11300

Across 72,627 services billed by 1,619 providers to 57,447 beneficiaries, Medicare allowed an average of $65.68 per service. That is 1.3 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 11300

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	40,715	32,383	$70.95	900
Physician Assistant	20,631	16,354	$58.71	474
Nurse Practitioner	9,729	7,629	$58.53	207
Family Practice	635	383	$62.43	14
Plastic and Reconstructive Surgery	387	233	$58.06	5
Micrographic Dermatologic Surgery	150	139	$78.63	6
Internal Medicine	109	85	$67.54	5
Otolaryngology	77	64	$53.81	2
Undefined Physician type	47	43	$72.07	1
Obstetrics & Gynecology	46	43	$78.75	1
Pediatric Medicine	41	39	$80.24	1
Pathology	31	28	$66.11	1
General Practice	16	12	$47.78	1
Podiatry	13	12	$131.63	1

11300 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	7,974	$75.90	$48.44	142
Ohio	5,385	$57.91	$45.35	103
Florida	4,682	$68.80	$50.77	122
Pennsylvania	4,259	$66.48	$47.98	86
Illinois	4,063	$68.89	$48.75	97
Arizona	3,737	$57.15	$42.20	55
New Jersey	3,475	$73.31	$48.52	70
New York	3,103	$70.41	$46.26	76
Texas	2,931	$63.87	$47.52	77
South Carolina	2,451	$58.95	$46.01	32
Virginia	2,421	$67.70	$46.16	67
Minnesota	2,132	$69.06	$46.70	56
North Carolina	1,753	$59.91	$44.69	50
Indiana	1,482	$64.79	$48.90	46
Georgia	1,476	$64.97	$49.16	24
West Virginia	1,449	$52.94	$41.51	23
Nebraska	1,399	$62.97	$44.49	25
Washington	1,317	$62.48	$42.69	31
Iowa	1,303	$59.35	$44.21	24
Missouri	1,086	$58.69	$45.11	23
Tennessee	1,050	$50.21	$41.78	23
Wisconsin	1,007	$61.10	$44.41	33
Massachusetts	935	$81.21	$53.92	28
Maryland	934	$76.94	$49.38	26
Arkansas	865	$59.64	$48.90	26
Michigan	847	$67.30	$49.04	29
New Hampshire	810	$72.77	$52.52	9
Rhode Island	809	$71.35	$49.99	16
Colorado	769	$80.05	$56.60	20
Alabama	662	$58.25	$47.11	19
Louisiana	628	$59.82	$45.49	11
Nevada	598	$66.50	$47.85	15
Oregon	564	$68.93	$49.12	18
Kansas	550	$59.04	$44.02	13
South Dakota	525	$41.57	$30.15	11
North Dakota	514	$43.18	$30.90	12
Delaware	487	$60.59	$42.31	6
Idaho	340	$62.33	$46.34	11
Kentucky	322	$54.71	$44.95	10
Hawaii	271	$65.60	$46.69	5
Utah	268	$52.56	$40.42	11
District of Columbia	197	$84.52	$51.37	7
Wyoming	197	$63.93	$46.75	9
Oklahoma	164	$61.30	$47.53	5
Connecticut	101	$75.49	$50.67	5
Montana	78	$74.48	$50.02	2
Maine	65	$88.32	$63.63	2
New Mexico	59	$69.78	$52.17	3
Mississippi	52	$66.25	$56.01	1
Vermont	48	$75.10	$48.60	2
Alaska	33	$87.05	$55.31	2

Related codes

11301Shaving of skin growth of body$93.24
11306Shaving of skin growth of scalp$96.85
11302Shaving of skin growth of body$109.25
11311Shaving of skin growth of face$109.39
11305Shaving of skin growth of scalp$83.95
11307Shaving of skin growth of scalp$109.50
11310Shaving of skin growth of face$87.93
11312Shaving of skin growth of face$129.94
11308Shaving of skin growth of scalp$117.09
11303Shaving of skin growth of body$124.56
11313Shaving of skin growth of face$169.53

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.