How much does Medicare pay for CPT 11301?

Medicare allowed an average of $93.24 per service and paid $68.77 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $242.99, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11301?

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm. It was billed 169,463 times to 130,019 Medicare beneficiaries by 2,835 providers in 2024.

Does 11301 pay differently in an office than a hospital?

Yes. The allowed amount averaged $93.95 in an office setting and $30.32 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 11301 most?

Dermatology, with 105,142 services from 1,667 clinicians. Next are Physician Assistant, Nurse Practitioner, Plastic and Reconstructive Surgery.

CPT 11301

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm

$93.24Medicare-allowed amount per service, averaged across 169,463 services

Providers submitted

$242.99

Asking price, not received

Medicare allowed

$93.24

The fee schedule figure

Medicare paid

$68.77

Balance is patient coinsurance

Providers submitted an average of $242.99 for this code and Medicare allowed $93.24 — 2.6× 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 $68.77 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $93.95
Hospital / facility: $30.32

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. 167,587 services were billed in an office setting and 1,876 in a facility.

Services: 169,463
Beneficiaries: 130,019
Providers billing it: 2,835
Total allowed: $15,800,730

What Medicare pays for CPT 11301

Across 169,463 services billed by 2,835 providers to 130,019 beneficiaries, Medicare allowed an average of $93.24 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 11301

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	105,142	81,800	$99.36	1,667
Physician Assistant	40,586	30,975	$82.92	768
Nurse Practitioner	17,625	13,075	$81.00	295
Plastic and Reconstructive Surgery	1,623	924	$79.31	24
Micrographic Dermatologic Surgery	1,132	936	$97.38	20
Family Practice	931	677	$97.08	27
Internal Medicine	781	588	$93.77	12
Podiatry	391	101	$100.64	2
General Surgery	319	202	$96.63	3
Otolaryngology	314	227	$86.74	5
Pathology	281	257	$103.08	4
Undefined Physician type	184	141	$96.68	2
General Practice	70	44	$84.29	3
Obstetrics & Gynecology	53	46	$111.59	1
Pediatric Medicine	31	26	$107.55	2

11301 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	22,947	$100.97	$64.96	263
Florida	14,989	$95.49	$70.43	241
Pennsylvania	10,711	$95.61	$67.57	170
New York	9,806	$99.00	$65.68	156
Illinois	9,401	$97.50	$67.81	182
Ohio	8,773	$87.41	$66.25	157
New Jersey	7,680	$99.20	$64.97	122
South Carolina	6,627	$81.94	$62.67	61
North Carolina	6,569	$83.50	$62.77	92
Texas	6,165	$94.30	$69.93	134
Arizona	5,265	$86.80	$62.97	74
Virginia	5,084	$100.80	$70.75	101
Minnesota	4,353	$95.82	$65.06	80
Indiana	3,634	$88.37	$66.58	69
Georgia	3,210	$88.77	$68.61	47
Nebraska	3,045	$69.93	$51.30	32
Washington	2,778	$94.04	$63.67	52
Massachusetts	2,636	$105.83	$71.22	59
New Hampshire	2,375	$95.98	$66.02	24
Missouri	2,342	$82.45	$63.95	44
Tennessee	2,178	$79.26	$62.51	39
Maryland	2,139	$107.85	$68.93	53
Kentucky	2,126	$84.66	$67.32	31
Wisconsin	2,116	$82.54	$60.41	47
West Virginia	1,906	$78.08	$60.70	30
Michigan	1,846	$101.13	$71.70	53
Arkansas	1,714	$86.08	$71.16	43
Alabama	1,593	$83.81	$69.60	36
Oregon	1,450	$93.60	$67.25	20
Wyoming	1,443	$88.78	$65.51	11
South Dakota	1,114	$55.77	$42.05	26
Colorado	1,090	$104.79	$70.60	35
Delaware	1,051	$96.56	$68.24	11
Nevada	1,051	$91.60	$67.36	17
Iowa	1,048	$86.40	$64.05	31
Louisiana	762	$89.59	$70.17	18
North Dakota	710	$66.72	$48.45	16
Kansas	667	$93.12	$66.66	24
District of Columbia	642	$113.52	$72.78	6
Oklahoma	623	$96.35	$71.58	12
New Mexico	562	$91.51	$68.16	14
Utah	545	$88.54	$62.32	21
Connecticut	512	$108.50	$70.19	15
Hawaii	437	$96.60	$65.09	10
Idaho	435	$89.56	$66.71	16
Montana	326	$91.86	$66.41	7
Mississippi	311	$84.29	$70.39	7
Rhode Island	311	$102.66	$71.79	10
Vermont	205	$92.26	$62.17	9
Maine	134	$101.99	$75.35	6
Puerto Rico	26	$85.08	$67.48	1

Related codes

11306Shaving of skin growth of scalp$96.85
11302Shaving of skin growth of body$109.25
11300Shaving of skin growth of body$65.68
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.