How much does Medicare pay for CPT 11400?

Medicare allowed an average of $100.81 per service and paid $75.12 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $265.84, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11400?

Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less. It was billed 3,236 times to 2,244 Medicare beneficiaries by 79 providers in 2024.

Does 11400 pay differently in an office than a hospital?

Yes. The allowed amount averaged $102.78 in an office setting and $45.32 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 11400 most?

Dermatology, with 2,107 services from 40 clinicians. Next are Physician Assistant, Nurse Practitioner, General Practice.

CPT 11400

Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less

$100.81Medicare-allowed amount per service, averaged across 3,236 services

Providers submitted

$265.84

Asking price, not received

Medicare allowed

$100.81

The fee schedule figure

Medicare paid

$75.12

Balance is patient coinsurance

Providers submitted an average of $265.84 for this code and Medicare allowed $100.81 — 2.6× 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 $75.12 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $102.78
Hospital / facility: $45.32

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. 3,125 services were billed in an office setting and 111 in a facility.

Services: 3,236
Beneficiaries: 2,244
Providers billing it: 79
Total allowed: $326,221

What Medicare pays for CPT 11400

Across 3,236 services billed by 79 providers to 2,244 beneficiaries, Medicare allowed an average of $100.81 per service. That is 1.4 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 11400

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	2,107	1,448	$108.03	40
Physician Assistant	346	284	$93.05	15
Nurse Practitioner	346	261	$82.65	12
General Practice	228	77	$71.29	1
Plastic and Reconstructive Surgery	86	74	$92.69	4
Family Practice	47	35	$101.71	2
Podiatry	34	31	$133.73	2
Internal Medicine	17	11	$118.46	1
Ambulatory Surgical Center	13	11	$63.29	1
Micrographic Dermatologic Surgery	12	12	$116.58	1

11400 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
Massachusetts	866	$102.97	$62.02	8
Illinois	320	$104.71	$73.72	8
California	291	$93.02	$61.08	6
Ohio	215	$93.68	$63.83	4
Virginia	176	$122.51	$75.23	3
New York	146	$116.28	$77.16	6
Alabama	145	$79.92	$66.44	2
Pennsylvania	135	$122.59	$86.74	3
Maryland	130	$107.92	$68.50	5
Florida	111	$120.24	$84.40	5
West Virginia	82	$41.25	$34.28	2
New Jersey	76	$94.90	$71.85	2
Delaware	60	$93.62	$69.77	1
Kansas	57	$90.91	$68.23	2
Indiana	56	$99.67	$76.57	2
Minnesota	56	$94.42	$66.88	2
Kentucky	39	$88.38	$63.93	3
Hawaii	39	$100.13	$70.76	1
North Carolina	38	$87.94	$70.30	1
Michigan	36	$99.25	$74.71	2
Wisconsin	30	$56.59	$42.08	2
District of Columbia	27	$119.98	$80.69	2
Idaho	22	$89.35	$63.77	1
New Hampshire	19	$126.91	$98.25	1
Washington	17	$97.35	$70.37	1
Georgia	14	$74.31	$57.70	1
Wyoming	11	$106.80	$73.46	1
North Dakota	11	$106.28	$70.53	1
Connecticut	11	$125.90	$82.41	1

Related codes

11402Removal of noncancer skin growth of body$95.28
11401Removal of noncancer skin growth of body$104.57
11403Removal of noncancer skin growth of body$113.00
11422Removal of noncancer skin growth of scalp$133.43
11442Removal of noncancer skin growth of face$128.75
11421Removal of noncancer skin growth of scalp$127.16
11440Removal of noncancer skin growth of face$102.78
11420Removal of noncancer skin growth of scalp$109.75
11441Removal of noncancer skin growth of face$118.75
11404Removal of noncancer skin growth of body$151.01
11423Removal of noncancer skin growth of scalp$166.91
11406Removal of noncancer skin growth of body$212.80

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.