How much does Medicare pay for CPT 11307?

Medicare allowed an average of $109.50 per service and paid $82.58 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $231.64, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11307?

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm. It was billed 39,939 times to 23,741 Medicare beneficiaries by 632 providers in 2024.

Does 11307 pay differently in an office than a hospital?

Yes. The allowed amount averaged $110.15 in an office setting and $40.57 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 11307 most?

Podiatry, with 18,677 services from 129 clinicians. Next are Dermatology, Physician Assistant, Nurse Practitioner.

CPT 11307

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm

$109.50Medicare-allowed amount per service, averaged across 39,939 services

Providers submitted

$231.64

Asking price, not received

Medicare allowed

$109.50

The fee schedule figure

Medicare paid

$82.58

Balance is patient coinsurance

Providers submitted an average of $231.64 for this code and Medicare allowed $109.50 — 2.1× 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 $82.58 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $110.15
Hospital / facility: $40.57

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. 39,567 services were billed in an office setting and 372 in a facility.

Services: 39,939
Beneficiaries: 23,741
Providers billing it: 632
Total allowed: $4,373,321

What Medicare pays for CPT 11307

Across 39,939 services billed by 632 providers to 23,741 beneficiaries, Medicare allowed an average of $109.50 per service. That is 1.7 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 11307

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	18,677	7,848	$115.90	129
Dermatology	16,520	12,170	$105.88	366
Physician Assistant	2,338	1,835	$97.53	78
Nurse Practitioner	1,155	931	$91.94	33
Micrographic Dermatologic Surgery	481	406	$115.85	7
Plastic and Reconstructive Surgery	268	180	$99.21	9
General Surgery	178	150	$73.08	1
Family Practice	144	117	$123.50	4
Otolaryngology	111	74	$73.73	3
Internal Medicine	40	13	$63.87	1
Ambulatory Surgical Center	27	17	$46.80	1

11307 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	9,296	$111.48	$79.12	81
South Carolina	4,784	$96.32	$66.66	34
Illinois	3,366	$117.02	$80.65	36
Florida	2,963	$117.52	$87.83	61
Pennsylvania	2,335	$114.72	$79.06	39
Virginia	1,950	$119.66	$84.64	28
New York	1,762	$120.84	$80.76	30
New Jersey	1,555	$114.60	$78.02	31
North Carolina	1,092	$105.74	$83.24	25
Arizona	1,091	$89.97	$67.47	12
Ohio	1,076	$107.29	$83.21	33
Texas	1,073	$114.61	$88.25	33
Georgia	1,048	$103.15	$79.73	16
Nevada	673	$117.88	$92.47	11
Washington	555	$96.35	$68.10	11
Colorado	491	$95.80	$71.06	4
Kentucky	490	$81.16	$68.20	8
Nebraska	469	$92.45	$74.03	8
Indiana	457	$111.12	$83.22	17
Missouri	390	$100.28	$82.05	14
Maryland	316	$127.87	$89.39	7
Arkansas	315	$95.94	$76.98	8
Mississippi	275	$90.27	$74.49	3
Oregon	241	$132.18	$90.42	6
Minnesota	227	$99.17	$71.51	8
Alabama	217	$97.99	$82.82	7
Wisconsin	195	$102.36	$78.32	5
New Mexico	187	$124.35	$101.21	4
South Dakota	135	$40.52	$32.16	4
Michigan	111	$123.40	$89.38	6
Massachusetts	94	$126.31	$84.55	5
Louisiana	82	$109.96	$93.16	5
Delaware	80	$130.40	$98.86	3
West Virginia	70	$103.18	$85.65	4
New Hampshire	59	$133.94	$96.27	3
Utah	57	$107.56	$80.96	3
Tennessee	53	$114.93	$101.37	2
Wyoming	47	$108.36	$85.64	2
North Dakota	46	$116.68	$84.65	3
Montana	43	$125.09	$87.09	1
Idaho	42	$116.40	$91.26	2
Kansas	30	$150.89	$86.11	2
Oklahoma	25	$129.78	$100.90	2
Connecticut	19	$134.63	$86.83	1
Vermont	17	$44.68	$36.83	1
Iowa	14	$97.09	$68.86	1
Hawaii	14	$117.40	$93.01	1
Rhode Island	12	$139.92	$94.85	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
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.