How much does Medicare pay for CPT 11440?

Medicare allowed an average of $102.78 per service and paid $76.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $363.39, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11440?

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less. It was billed 5,796 times to 3,663 Medicare beneficiaries by 160 providers in 2024.

Does 11440 pay differently in an office than a hospital?

Yes. The allowed amount averaged $105.56 in an office setting and $70.05 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 11440 most?

Ophthalmology, with 2,399 services from 100 clinicians. Next are General Practice, Dermatology, Ambulatory Surgical Center.

CPT 11440

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

$102.78Medicare-allowed amount per service, averaged across 5,796 services

Providers submitted

$363.39

Asking price, not received

Medicare allowed

$102.78

The fee schedule figure

Medicare paid

$76.75

Balance is patient coinsurance

Providers submitted an average of $363.39 for this code and Medicare allowed $102.78 — 3.5× 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 $76.75 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $105.56
Hospital / facility: $70.05

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. 5,341 services were billed in an office setting and 455 in a facility.

Services: 5,796
Beneficiaries: 3,663
Providers billing it: 160
Total allowed: $595,713

What Medicare pays for CPT 11440

Across 5,796 services billed by 160 providers to 3,663 beneficiaries, Medicare allowed an average of $102.78 per service. That is 1.6 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 11440

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	2,399	1,978	$118.76	100
General Practice	1,800	368	$80.52	1
Dermatology	858	722	$117.47	27
Ambulatory Surgical Center	215	181	$66.75	10
Plastic and Reconstructive Surgery	149	106	$96.21	6
Physician Assistant	145	133	$87.77	6
Nurse Practitioner	80	69	$82.73	4
Otolaryngology	54	40	$89.16	2
Family Practice	51	32	$144.60	1
Internal Medicine	34	23	$98.08	2
Pathology	11	11	$136.75	1

11440 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	2,061	$87.61	$60.47	9
Pennsylvania	392	$113.88	$77.43	11
Virginia	261	$110.71	$76.77	9
Ohio	240	$84.16	$65.58	8
New York	206	$121.38	$83.38	7
Alabama	199	$101.12	$79.87	3
California	164	$136.48	$92.91	9
Indiana	162	$105.81	$81.70	7
Florida	154	$119.98	$93.68	9
Maryland	154	$121.34	$84.73	6
North Carolina	145	$115.89	$88.48	7
Illinois	115	$134.29	$92.89	5
Georgia	114	$95.61	$74.37	5
Texas	113	$120.15	$90.45	4
Wisconsin	109	$71.61	$56.58	2
Kansas	101	$113.69	$85.29	6
Missouri	100	$82.03	$66.05	4
Louisiana	89	$92.30	$70.41	3
Michigan	81	$107.00	$83.55	3
West Virginia	72	$76.80	$64.36	4
Minnesota	71	$132.43	$98.15	4
Mississippi	57	$108.09	$86.43	3
Tennessee	55	$121.00	$90.88	3
Delaware	40	$130.49	$97.11	2
Arizona	36	$132.63	$94.75	2
Arkansas	36	$107.94	$88.36	2
Connecticut	35	$123.63	$82.22	1
New Jersey	35	$141.00	$85.53	1
Kentucky	35	$112.47	$88.64	2
North Dakota	32	$121.86	$86.25	1
South Carolina	32	$112.60	$86.71	1
Oregon	32	$132.38	$93.03	2
Maine	30	$91.35	$70.07	2
New Hampshire	30	$127.06	$91.69	2
Nebraska	25	$110.11	$84.91	2
Utah	25	$123.98	$92.66	1
South Dakota	22	$119.43	$79.79	1
Hawaii	21	$137.00	$94.03	1
Oklahoma	21	$129.95	$111.03	1
Washington	21	$92.89	$60.83	1
New Mexico	19	$133.17	$97.43	1
Iowa	19	$124.23	$71.42	1
Vermont	18	$135.97	$74.64	1
Colorado	17	$116.47	$84.34	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
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.