How much does Medicare pay for CPT 11305?

Medicare allowed an average of $83.95 per service and paid $62.81 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $172.04, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11305?

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less. It was billed 64,647 times to 32,971 Medicare beneficiaries by 886 providers in 2024.

Does 11305 pay differently in an office than a hospital?

Yes. The allowed amount averaged $84.45 in an office setting and $24.88 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 11305 most?

Podiatry, with 50,312 services from 364 clinicians. Next are Dermatology, Physician Assistant, Nurse Practitioner.

CPT 11305

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less

$83.95Medicare-allowed amount per service, averaged across 64,647 services

Providers submitted

$172.04

Asking price, not received

Medicare allowed

$83.95

The fee schedule figure

Medicare paid

$62.81

Balance is patient coinsurance

Providers submitted an average of $172.04 for this code and Medicare allowed $83.95 — 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 $62.81 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $84.45
Hospital / facility: $24.88

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. 64,112 services were billed in an office setting and 535 in a facility.

Services: 64,647
Beneficiaries: 32,971
Providers billing it: 886
Total allowed: $5,427,116

What Medicare pays for CPT 11305

Across 64,647 services billed by 886 providers to 32,971 beneficiaries, Medicare allowed an average of $83.95 per service. That is 2.0 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 11305

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	50,312	20,850	$87.35	364
Dermatology	8,312	7,078	$76.34	310
Physician Assistant	3,134	2,744	$64.46	127
Nurse Practitioner	2,046	1,752	$61.36	71
General Surgery	283	189	$72.81	1
Internal Medicine	271	116	$113.22	3
Plastic and Reconstructive Surgery	141	111	$63.91	3
Otolaryngology	40	33	$56.70	1
Family Practice	36	28	$66.26	2
Micrographic Dermatologic Surgery	35	35	$77.16	2
Undefined Physician type	23	21	$64.66	1
Pathology	14	14	$84.25	1

11305 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	16,780	$90.73	$63.89	109
Florida	10,204	$86.91	$64.56	96
Illinois	5,803	$81.94	$57.95	69
New York	4,438	$90.50	$61.24	59
Pennsylvania	3,285	$79.82	$58.37	46
South Carolina	2,918	$73.56	$54.00	36
Virginia	2,802	$83.15	$59.80	41
Ohio	2,410	$74.82	$58.30	53
Michigan	1,593	$91.78	$70.16	29
New Jersey	1,540	$84.30	$50.98	30
Texas	1,424	$83.77	$63.31	37
Arizona	1,005	$67.61	$51.80	26
Washington	990	$90.84	$65.91	13
Nevada	970	$72.52	$55.54	8
Nebraska	784	$64.15	$53.03	8
Tennessee	625	$67.61	$54.98	8
Mississippi	620	$86.15	$72.49	5
New Mexico	580	$81.12	$62.52	11
Indiana	579	$74.76	$56.94	18
Missouri	513	$69.06	$56.30	11
Iowa	496	$67.42	$50.11	12
Maryland	469	$89.53	$63.03	12
Georgia	405	$72.69	$56.43	10
Oregon	370	$78.61	$57.01	7
Minnesota	311	$85.27	$57.33	12
North Carolina	291	$71.10	$53.70	16
West Virginia	258	$60.18	$48.72	10
Massachusetts	231	$95.25	$65.55	8
Wisconsin	225	$62.46	$49.51	6
Idaho	157	$69.73	$49.78	7
Arkansas	148	$65.94	$54.69	7
Louisiana	142	$66.31	$52.97	5
New Hampshire	139	$76.21	$54.22	4
Kentucky	134	$71.77	$57.46	6
Colorado	132	$84.15	$59.25	7
Oklahoma	100	$63.12	$46.45	3
Utah	94	$63.57	$48.73	5
Rhode Island	88	$81.41	$57.78	5
Wyoming	85	$61.37	$44.84	5
Alabama	81	$65.01	$53.71	5
Delaware	78	$71.07	$51.60	3
Connecticut	77	$87.79	$61.63	1
Kansas	67	$79.28	$56.19	4
South Dakota	56	$50.37	$41.47	3
North Dakota	56	$56.79	$41.22	4
Hawaii	37	$71.94	$55.72	3
District of Columbia	29	$96.87	$59.18	2
Montana	28	$81.16	$54.50	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
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.