How much does Medicare pay for CPT 11302?

Medicare allowed an average of $109.25 per service and paid $81.67 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $256.15, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11302?

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm. It was billed 77,672 times to 58,257 Medicare beneficiaries by 1,544 providers in 2024.

Does 11302 pay differently in an office than a hospital?

Yes. The allowed amount averaged $110.15 in an office setting and $40.89 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 11302 most?

Dermatology, with 56,680 services from 1,037 clinicians. Next are Physician Assistant, Nurse Practitioner, Micrographic Dermatologic Surgery.

CPT 11302

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm

$109.25Medicare-allowed amount per service, averaged across 77,672 services

Providers submitted

$256.15

Asking price, not received

Medicare allowed

$109.25

The fee schedule figure

Medicare paid

$81.67

Balance is patient coinsurance

Providers submitted an average of $256.15 for this code and Medicare allowed $109.25 — 2.3× 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 $81.67 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $110.15
Hospital / facility: $40.89

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. 76,654 services were billed in an office setting and 1,018 in a facility.

Services: 77,672
Beneficiaries: 58,257
Providers billing it: 1,544
Total allowed: $8,485,666

What Medicare pays for CPT 11302

Across 77,672 services billed by 1,544 providers to 58,257 beneficiaries, Medicare allowed an average of $109.25 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 11302

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	56,680	42,626	$113.28	1,037
Physician Assistant	12,199	9,075	$97.17	304
Nurse Practitioner	5,189	3,941	$92.25	134
Micrographic Dermatologic Surgery	1,178	920	$110.72	11
Plastic and Reconstructive Surgery	937	574	$99.20	17
Family Practice	630	484	$116.06	18
Podiatry	303	179	$132.45	3
Internal Medicine	219	160	$114.32	7
Otolaryngology	156	129	$101.31	4
Pathology	76	74	$128.84	3
General Practice	49	42	$127.03	3
Undefined Physician type	32	30	$124.90	2
General Surgery	24	23	$137.54	1

11302 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	10,815	$113.64	$75.23	162
Florida	7,373	$111.72	$83.85	159
New York	6,334	$123.55	$80.68	105
New Jersey	5,662	$110.73	$73.00	69
Pennsylvania	5,392	$116.41	$80.35	102
North Carolina	3,678	$98.37	$71.29	51
Arizona	3,191	$80.69	$58.01	37
Ohio	2,896	$104.90	$79.16	70
Texas	2,774	$113.92	$85.81	76
Illinois	2,771	$117.93	$82.42	86
Virginia	2,624	$115.20	$80.81	57
South Carolina	2,589	$99.43	$77.29	41
Georgia	1,906	$106.76	$83.90	33
Indiana	1,722	$102.44	$76.90	41
Missouri	1,244	$104.69	$81.11	27
Minnesota	1,144	$110.40	$77.57	31
Colorado	1,074	$86.65	$65.52	12
Washington	1,041	$112.33	$77.51	24
Kentucky	923	$99.58	$83.34	15
Massachusetts	872	$124.37	$83.94	27
Alabama	849	$99.01	$83.33	23
Maryland	838	$128.99	$86.41	22
Michigan	836	$113.86	$83.34	30
Nebraska	833	$89.95	$66.91	11
Nevada	745	$116.16	$86.99	12
Arkansas	738	$98.94	$81.80	25
Mississippi	597	$85.27	$71.20	5
Wisconsin	555	$96.69	$70.86	18
Tennessee	541	$104.06	$83.90	17
South Dakota	524	$51.25	$39.32	15
Oregon	494	$113.35	$82.11	12
West Virginia	458	$92.45	$71.69	11
New Hampshire	414	$117.41	$79.07	9
Delaware	392	$123.27	$91.94	8
Wyoming	379	$111.93	$85.68	9
Louisiana	317	$111.67	$91.44	14
Kansas	294	$108.44	$78.07	10
New Mexico	243	$112.37	$85.31	7
Oklahoma	235	$118.36	$90.32	10
Connecticut	232	$131.84	$88.35	11
Utah	211	$106.72	$77.94	7
Montana	163	$120.99	$87.10	3
Iowa	162	$102.65	$81.42	8
North Dakota	140	$99.14	$68.87	6
Hawaii	121	$112.20	$80.04	3
Idaho	100	$103.84	$81.42	4
Rhode Island	75	$131.94	$90.50	3
District of Columbia	61	$134.01	$93.05	2
Vermont	56	$57.63	$39.49	2
Maine	44	$109.56	$82.15	2

Related codes

11301Shaving of skin growth of body$93.24
11306Shaving of skin growth of scalp$96.85
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.