How much does Medicare pay for CPT 11622?

Medicare allowed an average of $140.18 per service and paid $109.59 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $512.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11622?

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm. It was billed 21,820 times to 19,591 Medicare beneficiaries by 853 providers in 2024.

Does 11622 pay differently in an office than a hospital?

Yes. The allowed amount averaged $141.94 in an office setting and $86.16 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 11622 most?

Dermatology, with 18,043 services from 679 clinicians. Next are Physician Assistant, Plastic and Reconstructive Surgery, Nurse Practitioner.

CPT 11622

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm

$140.18Medicare-allowed amount per service, averaged across 21,820 services

Providers submitted

$512.79

Asking price, not received

Medicare allowed

$140.18

The fee schedule figure

Medicare paid

$109.59

Balance is patient coinsurance

Providers submitted an average of $512.79 for this code and Medicare allowed $140.18 — 3.7× 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 $109.59 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $141.94
Hospital / facility: $86.16

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. 21,132 services were billed in an office setting and 688 in a facility.

Services: 21,820
Beneficiaries: 19,591
Providers billing it: 853
Total allowed: $3,058,728

What Medicare pays for CPT 11622

Across 21,820 services billed by 853 providers to 19,591 beneficiaries, Medicare allowed an average of $140.18 per service. 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 11622

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	18,043	16,216	$142.71	679
Physician Assistant	1,262	1,136	$122.40	64
Plastic and Reconstructive Surgery	1,062	949	$131.09	47
Nurse Practitioner	425	378	$145.60	20
Ambulatory Surgical Center	298	264	$80.57	12
General Surgery	199	168	$140.16	5
Micrographic Dermatologic Surgery	152	148	$142.70	8
Family Practice	147	123	$170.80	5
Otolaryngology	120	111	$132.90	7
Internal Medicine	36	27	$165.20	2
Undefined Physician type	35	32	$83.79	1
Emergency Medicine	16	16	$111.03	1
Interventional Pain Management	13	12	$124.79	1
Osteopathic Manipulative Medicine	12	11	$117.68	1

11622 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	3,891	$144.91	$112.41	142
California	2,374	$174.33	$119.05	68
Texas	1,688	$132.99	$105.90	75
Georgia	1,172	$138.94	$118.58	39
South Carolina	1,103	$131.02	$107.73	38
North Carolina	914	$121.57	$100.89	36
Arizona	695	$144.29	$113.36	27
Alabama	677	$133.97	$112.73	21
Virginia	672	$139.39	$107.96	28
Illinois	594	$153.55	$113.86	26
Ohio	568	$132.24	$107.58	30
Pennsylvania	487	$128.46	$102.21	23
Mississippi	469	$126.40	$107.68	17
Maryland	456	$168.07	$120.82	21
Massachusetts	425	$125.25	$92.07	20
Louisiana	416	$122.21	$103.86	15
Kansas	413	$116.10	$98.63	6
Tennessee	408	$128.52	$110.55	19
Indiana	383	$121.34	$103.58	10
New York	334	$147.47	$108.47	12
Nebraska	315	$138.06	$114.52	11
Missouri	267	$109.02	$95.61	13
Oklahoma	253	$122.85	$102.60	13
Wyoming	224	$104.46	$81.05	5
Kentucky	221	$120.84	$103.49	11
Iowa	217	$117.76	$97.93	10
Washington	199	$136.82	$103.04	12
Oregon	197	$144.07	$111.13	10
Colorado	180	$132.37	$99.97	9
Michigan	162	$134.41	$106.87	7
Arkansas	142	$158.11	$131.50	6
New Jersey	135	$193.96	$131.52	9
Nevada	117	$165.07	$123.46	6
New Mexico	110	$127.54	$106.94	5
Wisconsin	108	$114.05	$89.18	7
Idaho	106	$101.45	$85.73	8
Hawaii	103	$172.86	$125.18	5
Delaware	102	$126.13	$99.31	4
Minnesota	97	$151.78	$105.80	5
Utah	90	$130.66	$108.97	6
Montana	76	$138.44	$112.03	4
District of Columbia	71	$139.13	$99.26	2
New Hampshire	33	$123.76	$100.07	1
West Virginia	27	$148.09	$118.17	2
Connecticut	27	$140.34	$99.43	2
Maine	24	$127.67	$102.16	2
Puerto Rico	21	$121.97	$99.02	1
ZZ	18	$127.13	$99.29	1
Vermont	15	$202.74	$150.86	1
Alaska	13	$121.67	$98.94	1
North Dakota	11	$88.21	$71.98	1

Related codes

11602Removal of cancer skin growth of body$124.23
11603Removal of cancer skin growth of body$145.33
11642Removal of cancer skin growth of face$146.34
11604Removal of cancer skin growth of body$207.87
11606Removal of cancer skin growth of body$351.85
11643Removal of cancer skin growth of face$186.77
11641Removal of cancer skin growth of face$146.08
11623Removal of cancer skin growth of scalp$165.51
11601Removal of cancer skin growth of body$150.65
11644Removal of cancer skin growth of face$292.35
11646Removal of cancer skin growth of face$427.86
11621Removal of cancer skin growth of scalp$153.64

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.