How much does Medicare pay for CPT 11303?

Medicare allowed an average of $124.56 per service and paid $95.16 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $255.05, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11303?

Shaving of skin growth of body, arms, or legs, more than 2.0 cm. It was billed 8,477 times to 6,286 Medicare beneficiaries by 169 providers in 2024.

Does 11303 pay differently in an office than a hospital?

Yes. The allowed amount averaged $124.78 in an office setting and $34.65 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 11303 most?

Dermatology, with 6,674 services from 137 clinicians. Next are Physician Assistant, Micrographic Dermatologic Surgery, Plastic and Reconstructive Surgery.

CPT 11303

Shaving of skin growth of body, arms, or legs, more than 2.0 cm

$124.56Medicare-allowed amount per service, averaged across 8,477 services

Providers submitted

$255.05

Asking price, not received

Medicare allowed

$124.56

The fee schedule figure

Medicare paid

$95.16

Balance is patient coinsurance

Providers submitted an average of $255.05 for this code and Medicare allowed $124.56 — 2.0× 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 $95.16 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $124.78
Hospital / facility: $34.65

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. 8,456 services were billed in an office setting and 21 in a facility.

Services: 8,477
Beneficiaries: 6,286
Providers billing it: 169
Total allowed: $1,055,895

What Medicare pays for CPT 11303

Across 8,477 services billed by 169 providers to 6,286 beneficiaries, Medicare allowed an average of $124.56 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 11303

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	6,674	5,083	$126.46	137
Physician Assistant	602	422	$111.73	16
Micrographic Dermatologic Surgery	542	372	$133.83	2
Plastic and Reconstructive Surgery	264	106	$99.72	5
Nurse Practitioner	257	181	$100.72	5
Podiatry	81	81	$158.62	1
Internal Medicine	41	25	$111.61	2
Family Practice	16	16	$155.05	1

11303 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	1,665	$129.95	$87.92	26
New York	1,313	$132.96	$87.72	22
New Jersey	935	$127.50	$89.71	14
Kentucky	783	$89.46	$73.66	2
Arizona	705	$122.75	$89.11	3
Florida	606	$137.27	$102.39	14
Texas	311	$128.16	$98.28	12
Pennsylvania	258	$148.24	$107.56	9
Georgia	250	$110.21	$86.83	6
Virginia	249	$119.63	$90.70	6
Mississippi	194	$99.27	$82.93	1
Indiana	148	$115.74	$88.76	8
Missouri	115	$124.68	$95.90	6
Colorado	106	$112.25	$82.66	2
South Carolina	99	$115.26	$92.55	3
Illinois	92	$143.98	$97.63	3
Maryland	83	$152.74	$103.55	3
Ohio	78	$126.72	$103.64	4
Nebraska	67	$102.13	$83.68	2
Alabama	56	$118.63	$105.03	3
Nevada	51	$140.89	$105.57	3
Massachusetts	46	$143.44	$88.07	1
Minnesota	44	$135.28	$99.06	3
Louisiana	42	$139.73	$110.10	1
North Carolina	32	$117.87	$102.44	2
Washington	29	$133.31	$87.47	2
Delaware	24	$138.41	$110.79	2
Arkansas	21	$116.50	$102.96	1
South Dakota	21	$34.65	$28.71	1
Idaho	20	$143.56	$113.19	1
Michigan	12	$151.00	$104.02	1
Montana	11	$142.25	$102.78	1
Oklahoma	11	$109.51	$102.34	1

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
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
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.