How much does Medicare pay for CPT 11402?

Medicare allowed an average of $95.28 per service and paid $74.22 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $364.46, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11402?

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm. It was billed 54,929 times to 47,693 Medicare beneficiaries by 2,077 providers in 2024.

Does 11402 pay differently in an office than a hospital?

Yes. The allowed amount averaged $96.55 in an office setting and $60.80 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 11402 most?

Dermatology, with 38,140 services from 1,416 clinicians. Next are Physician Assistant, Plastic and Reconstructive Surgery, Micrographic Dermatologic Surgery.

CPT 11402

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm

$95.28Medicare-allowed amount per service, averaged across 54,929 services

Providers submitted

$364.46

Asking price, not received

Medicare allowed

$95.28

The fee schedule figure

Medicare paid

$74.22

Balance is patient coinsurance

Providers submitted an average of $364.46 for this code and Medicare allowed $95.28 — 3.8× 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 $74.22 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $96.55
Hospital / facility: $60.80

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. 52,984 services were billed in an office setting and 1,945 in a facility.

Services: 54,929
Beneficiaries: 47,693
Providers billing it: 2,077
Total allowed: $5,233,635

What Medicare pays for CPT 11402

Across 54,929 services billed by 2,077 providers to 47,693 beneficiaries, Medicare allowed an average of $95.28 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 11402

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	38,140	33,078	$98.98	1,416
Physician Assistant	7,258	6,409	$82.10	306
Plastic and Reconstructive Surgery	2,763	2,304	$87.02	93
Micrographic Dermatologic Surgery	1,856	1,705	$98.09	82
Nurse Practitioner	1,653	1,479	$80.34	77
General Surgery	994	828	$95.42	29
Ambulatory Surgical Center	802	625	$60.99	21
Family Practice	684	583	$110.79	27
Internal Medicine	326	281	$119.79	12
General Practice	110	80	$133.10	2
Orthopedic Surgery	78	76	$85.05	2
Otolaryngology	75	62	$68.47	3
Podiatry	63	63	$182.28	1
Pathology	43	41	$85.28	2
Cardiology	28	26	$81.35	1

11402 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
Florida	9,680	$96.01	$73.18	298
California	6,426	$111.12	$75.21	184
Texas	3,371	$94.15	$73.74	152
Pennsylvania	2,721	$92.92	$70.20	115
Georgia	2,663	$84.58	$69.17	95
North Carolina	2,620	$84.63	$69.91	73
New York	2,548	$114.78	$79.42	96
Illinois	2,357	$90.97	$68.73	75
New Jersey	2,104	$108.12	$75.98	72
Arizona	1,756	$91.46	$70.82	80
Virginia	1,513	$94.77	$72.82	75
Ohio	1,395	$86.14	$71.25	64
South Carolina	1,366	$83.73	$68.67	55
Maryland	1,361	$105.36	$74.97	57
Indiana	1,193	$77.89	$65.77	38
Massachusetts	1,186	$102.47	$71.73	53
Tennessee	803	$88.82	$75.93	45
Michigan	673	$94.09	$75.54	37
Missouri	661	$78.29	$65.39	30
Minnesota	650	$93.92	$70.31	30
Colorado	599	$92.73	$69.49	21
Kentucky	546	$82.08	$70.21	20
Nevada	530	$115.91	$87.88	13
Kansas	499	$77.83	$67.40	18
Washington	487	$85.27	$64.09	25
Oregon	480	$97.51	$72.79	21
Alabama	476	$86.29	$73.50	22
Wisconsin	473	$88.91	$71.02	22
Arkansas	359	$72.96	$64.00	18
Mississippi	341	$94.17	$80.23	16
Oklahoma	328	$82.55	$69.50	17
Louisiana	316	$94.12	$77.92	16
Delaware	263	$80.38	$61.15	14
West Virginia	261	$77.73	$66.09	12
Iowa	260	$77.26	$62.58	16
Nebraska	218	$91.44	$74.86	13
Connecticut	209	$91.18	$66.58	10
New Hampshire	197	$75.42	$58.42	11
North Dakota	175	$81.90	$65.00	8
District of Columbia	139	$98.99	$68.56	2
New Mexico	114	$81.05	$67.33	6
South Dakota	88	$89.94	$69.84	4
Utah	87	$81.03	$63.78	4
Rhode Island	77	$111.89	$82.94	4
Wyoming	71	$99.42	$75.06	3
Maine	69	$80.22	$64.27	4
Idaho	64	$68.82	$59.41	5
Montana	41	$94.49	$74.72	3
ZZ	39	$84.39	$67.98	1
Hawaii	26	$97.74	$67.55	1
U.S. Virgin Islands	20	$110.61	$87.76	1
Guam	19	$90.06	$68.11	1
Alaska	11	$75.45	$67.53	1

Related codes

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
11400Removal of noncancer skin growth of body$100.81
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.