How much does Medicare pay for CPT 11313?

Medicare allowed an average of $169.53 per service and paid $127.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $268.29, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11313?

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm. It was billed 2,956 times to 2,294 Medicare beneficiaries by 50 providers in 2024.

Which specialty bills 11313 most?

Dermatology, with 2,522 services from 35 clinicians. Next are Micrographic Dermatologic Surgery, Plastic and Reconstructive Surgery, Physician Assistant.

CPT 11313

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm

$169.53Medicare-allowed amount per service, averaged across 2,956 services

Providers submitted

$268.29

Asking price, not received

Medicare allowed

$169.53

The fee schedule figure

Medicare paid

$127.72

Balance is patient coinsurance

Providers submitted an average of $268.29 for this code and Medicare allowed $169.53 — 1.6× 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 $127.72 (75%); the rest is the patient’s coinsurance and deductible.

Services: 2,956
Beneficiaries: 2,294
Providers billing it: 50
Total allowed: $501,131

What Medicare pays for CPT 11313

Across 2,956 services billed by 50 providers to 2,294 beneficiaries, Medicare allowed an average of $169.53 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 11313

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	2,522	1,924	$171.16	35
Micrographic Dermatologic Surgery	183	160	$168.49	2
Plastic and Reconstructive Surgery	92	72	$160.32	4
Physician Assistant	76	71	$146.95	5
Nurse Practitioner	41	37	$143.46	2
Internal Medicine	29	18	$164.66	1
Otolaryngology	13	12	$157.74	1

11313 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
Kentucky	1,003	$166.17	$132.03	1
New Jersey	408	$169.95	$122.58	5
California	404	$193.55	$127.06	10
New York	334	$172.14	$119.36	6
Arizona	196	$168.01	$121.82	2
Florida	132	$175.17	$123.90	4
Mississippi	89	$142.09	$112.16	1
Pennsylvania	70	$159.83	$118.85	4
Virginia	46	$167.46	$113.91	2
Georgia	42	$136.28	$102.48	2
Illinois	40	$152.55	$102.82	2
Texas	40	$164.56	$124.37	2
Ohio	29	$164.66	$128.73	1
Nebraska	24	$132.70	$111.04	2
Colorado	21	$149.77	$112.41	1
Puerto Rico	21	$172.48	$120.80	1
South Carolina	16	$170.16	$132.45	1
Indiana	15	$160.23	$124.24	1
North Carolina	15	$145.42	$125.99	1
Arkansas	11	$126.37	$112.70	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
11303Shaving of skin growth of body$124.56

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.