How much does Medicare pay for CPT 11310?

Medicare allowed an average of $87.93 per service and paid $63.74 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $234.06, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11310?

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less. It was billed 38,105 times to 32,880 Medicare beneficiaries by 1,060 providers in 2024.

Does 11310 pay differently in an office than a hospital?

Yes. The allowed amount averaged $88.49 in an office setting and $28.22 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 11310 most?

Dermatology, with 22,966 services from 625 clinicians. Next are Physician Assistant, Nurse Practitioner, Plastic and Reconstructive Surgery.

CPT 11310

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less

$87.93Medicare-allowed amount per service, averaged across 38,105 services

Providers submitted

$234.06

Asking price, not received

Medicare allowed

$87.93

The fee schedule figure

Medicare paid

$63.74

Balance is patient coinsurance

Providers submitted an average of $234.06 for this code and Medicare allowed $87.93 — 2.7× 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 $63.74 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $88.49
Hospital / facility: $28.22

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. 37,752 services were billed in an office setting and 353 in a facility.

Services: 38,105
Beneficiaries: 32,880
Providers billing it: 1,060
Total allowed: $3,350,573

What Medicare pays for CPT 11310

Across 38,105 services billed by 1,060 providers to 32,880 beneficiaries, Medicare allowed an average of $87.93 per service. That is 1.2 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 11310

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	22,966	19,915	$94.06	625
Physician Assistant	8,429	7,441	$79.36	261
Nurse Practitioner	4,670	3,947	$75.91	121
Plastic and Reconstructive Surgery	895	599	$76.36	13
Otolaryngology	309	238	$85.46	11
Family Practice	211	167	$80.94	7
Micrographic Dermatologic Surgery	201	181	$91.41	7
Internal Medicine	120	112	$90.72	5
Undefined Physician type	110	97	$87.22	1
Ophthalmology	80	74	$70.44	4
Pathology	51	50	$100.25	2
Pediatric Medicine	27	26	$109.11	1
Obstetrics & Gynecology	19	18	$98.94	1
Ambulatory Surgical Center	17	15	$42.60	1

11310 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	4,705	$100.99	$64.13	119
Ohio	2,301	$80.58	$61.09	72
Pennsylvania	2,150	$82.37	$59.31	53
South Carolina	1,958	$77.51	$59.34	27
Illinois	1,844	$92.88	$65.27	58
Florida	1,791	$91.40	$66.68	58
Texas	1,709	$90.93	$66.40	50
New York	1,641	$97.31	$63.58	50
New Jersey	1,396	$98.01	$63.80	45
Virginia	1,373	$96.78	$66.95	45
Iowa	1,310	$79.96	$58.02	20
Arizona	1,233	$74.97	$55.63	29
North Carolina	1,128	$85.69	$63.82	43
Minnesota	1,057	$91.61	$61.38	33
Georgia	907	$83.72	$63.33	17
Indiana	894	$85.39	$63.82	30
Missouri	758	$77.90	$60.52	16
Washington	745	$86.43	$57.45	21
Nebraska	734	$81.56	$58.07	12
West Virginia	644	$76.52	$60.14	20
Massachusetts	592	$103.07	$67.52	18
Wyoming	538	$81.61	$61.22	11
Maryland	519	$98.28	$62.69	19
Alabama	473	$79.69	$64.66	17
Tennessee	455	$61.36	$53.65	8
Idaho	403	$82.10	$59.14	10
Michigan	388	$97.43	$70.02	18
Oregon	363	$93.21	$65.13	9
Kentucky	344	$72.20	$56.72	11
Louisiana	334	$87.77	$69.27	9
Nevada	331	$89.69	$63.78	9
Wisconsin	326	$69.65	$51.79	13
South Dakota	305	$48.23	$35.19	11
New Hampshire	282	$93.73	$64.23	7
Arkansas	278	$83.23	$65.31	9
Utah	199	$71.98	$56.34	6
Hawaii	198	$97.13	$65.36	6
North Dakota	196	$78.26	$54.48	7
Oklahoma	191	$88.12	$65.16	4
Delaware	177	$91.78	$66.35	7
New Mexico	157	$86.71	$68.24	5
Colorado	151	$94.13	$64.34	6
District of Columbia	134	$102.97	$65.17	3
Kansas	127	$85.94	$64.08	6
Montana	107	$93.69	$62.50	3
Rhode Island	84	$98.46	$64.98	3
Connecticut	79	$113.35	$72.81	3
Mississippi	71	$75.54	$66.30	3
Maine	25	$68.07	$49.71	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
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.