How much does Medicare pay for CPT 11306?

Medicare allowed an average of $96.85 per service and paid $72.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $217.66, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11306?

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm. It was billed 79,766 times to 49,139 Medicare beneficiaries by 1,296 providers in 2024.

Does 11306 pay differently in an office than a hospital?

Yes. The allowed amount averaged $97.37 in an office setting and $27.41 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 11306 most?

Podiatry, with 37,614 services from 221 clinicians. Next are Dermatology, Physician Assistant, Nurse Practitioner.

CPT 11306

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm

$96.85Medicare-allowed amount per service, averaged across 79,766 services

Providers submitted

$217.66

Asking price, not received

Medicare allowed

$96.85

The fee schedule figure

Medicare paid

$72.26

Balance is patient coinsurance

Providers submitted an average of $217.66 for this code and Medicare allowed $96.85 — 2.2× 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 $72.26 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $97.37
Hospital / facility: $27.41

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. 79,176 services were billed in an office setting and 590 in a facility.

Services: 79,766
Beneficiaries: 49,139
Providers billing it: 1,296
Total allowed: $7,725,337

What Medicare pays for CPT 11306

Across 79,766 services billed by 1,296 providers to 49,139 beneficiaries, Medicare allowed an average of $96.85 per service. That is 1.6 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 11306

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	37,614	13,803	$100.03	221
Dermatology	27,815	23,275	$98.97	683
Physician Assistant	8,728	7,488	$84.01	252
Nurse Practitioner	3,892	3,203	$81.38	91
Plastic and Reconstructive Surgery	539	358	$84.00	16
Micrographic Dermatologic Surgery	435	383	$98.79	9
Internal Medicine	253	229	$101.13	8
Otolaryngology	196	144	$82.50	6
Family Practice	112	101	$96.99	6
General Surgery	68	49	$109.70	1
Undefined Physician type	61	54	$97.92	1
Pathology	53	52	$110.30	2

11306 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	16,653	$106.24	$70.08	168
South Carolina	7,899	$81.43	$53.08	44
Florida	6,490	$106.61	$77.86	106
New York	5,901	$104.60	$68.03	85
Illinois	5,493	$96.02	$68.37	90
Pennsylvania	3,860	$95.73	$69.49	73
Ohio	3,392	$90.73	$69.96	75
Virginia	2,957	$100.22	$71.55	49
Texas	2,345	$92.02	$69.00	57
New Jersey	2,121	$100.66	$67.99	53
Georgia	1,924	$83.84	$63.62	23
North Carolina	1,833	$85.27	$66.91	40
Nebraska	1,797	$75.97	$62.10	17
Nevada	1,697	$93.42	$70.62	15
Arizona	1,477	$90.86	$69.25	32
Minnesota	1,326	$103.48	$72.09	26
Indiana	1,310	$92.40	$70.73	28
Washington	1,143	$100.40	$72.01	21
Missouri	708	$88.51	$71.30	18
Michigan	701	$108.47	$78.04	24
Maryland	634	$110.29	$73.44	21
Wyoming	547	$92.75	$68.47	9
Kentucky	541	$87.95	$73.36	15
West Virginia	520	$80.79	$62.85	14
New Hampshire	517	$101.83	$68.92	11
Wisconsin	509	$82.24	$63.64	11
Oregon	507	$99.89	$70.07	12
Massachusetts	424	$105.60	$73.67	15
Alabama	413	$84.17	$72.07	14
Louisiana	407	$91.92	$74.60	9
Arkansas	382	$87.04	$71.69	16
Tennessee	374	$85.62	$68.05	10
Mississippi	321	$101.45	$87.84	4
New Mexico	310	$81.56	$64.35	6
Colorado	308	$103.50	$74.78	7
Oklahoma	245	$96.57	$70.82	8
Delaware	244	$102.37	$72.29	6
Idaho	214	$91.88	$71.32	9
South Dakota	203	$43.13	$33.20	8
Iowa	181	$89.39	$68.07	9
Utah	170	$81.71	$63.14	6
North Dakota	161	$86.43	$62.37	7
District of Columbia	140	$117.32	$78.34	4
Montana	117	$102.09	$73.34	3
Connecticut	115	$113.99	$71.98	6
Kansas	92	$115.67	$82.33	4
Hawaii	80	$102.49	$64.74	4
Rhode Island	40	$103.12	$78.38	2
Maine	23	$90.92	$70.17	2

Related codes

11301Shaving of skin growth of body$93.24
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.