How much does Medicare pay for CPT 11641?

Medicare allowed an average of $146.08 per service and paid $111.68 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $489.73, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 11641?

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm. It was billed 5,950 times to 5,384 Medicare beneficiaries by 246 providers in 2024.

Does 11641 pay differently in an office than a hospital?

Yes. The allowed amount averaged $153.91 in an office setting and $79.36 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 11641 most?

Dermatology, with 4,061 services from 167 clinicians. Next are Plastic and Reconstructive Surgery, Physician Assistant, Ambulatory Surgical Center.

CPT 11641

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm

$146.08Medicare-allowed amount per service, averaged across 5,950 services

Providers submitted

$489.73

Asking price, not received

Medicare allowed

$146.08

The fee schedule figure

Medicare paid

$111.68

Balance is patient coinsurance

Providers submitted an average of $489.73 for this code and Medicare allowed $146.08 — 3.4× 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 $111.68 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $153.91
Hospital / facility: $79.36

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. 5,325 services were billed in an office setting and 625 in a facility.

Services: 5,950
Beneficiaries: 5,384
Providers billing it: 246
Total allowed: $869,176

What Medicare pays for CPT 11641

Across 5,950 services billed by 246 providers to 5,384 beneficiaries, Medicare allowed an average of $146.08 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 11641

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	4,061	3,691	$158.81	167
Plastic and Reconstructive Surgery	917	830	$122.43	39
Physician Assistant	253	220	$131.37	12
Ambulatory Surgical Center	230	204	$73.00	5
Otolaryngology	144	125	$120.19	9
General Surgery	135	120	$109.38	4
Nurse Practitioner	132	122	$149.64	6
Family Practice	34	33	$162.28	2
Internal Medicine	31	26	$103.07	1
Osteopathic Manipulative Medicine	13	13	$110.29	1

11641 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	843	$126.61	$97.56	32
California	677	$191.79	$132.85	26
Georgia	639	$107.90	$89.92	15
Tennessee	267	$132.44	$113.04	11
Indiana	258	$111.10	$94.84	7
Maryland	200	$185.57	$133.79	9
Texas	194	$157.05	$124.05	12
Illinois	182	$152.06	$116.74	9
Arizona	182	$160.29	$129.76	5
Alabama	170	$155.74	$127.61	5
North Carolina	163	$131.23	$108.67	6
Mississippi	160	$157.04	$136.53	9
New York	144	$161.11	$126.18	7
Louisiana	137	$135.38	$114.57	7
Missouri	126	$111.81	$91.37	8
South Carolina	123	$120.85	$99.38	7
Oregon	119	$135.23	$104.69	5
Virginia	118	$165.29	$127.23	5
Ohio	99	$136.55	$114.04	4
Kentucky	97	$131.73	$105.71	4
Hawaii	91	$200.06	$141.73	4
Pennsylvania	91	$144.78	$106.46	6
New Jersey	89	$219.07	$151.92	5
Wyoming	75	$127.22	$98.03	1
Oklahoma	73	$143.17	$124.32	5
Kansas	72	$172.33	$142.03	3
Utah	72	$168.05	$141.53	2
Nebraska	67	$196.63	$161.10	3
New Mexico	58	$188.12	$147.58	2
West Virginia	48	$128.73	$106.49	3
Massachusetts	39	$156.27	$122.83	3
Arkansas	39	$108.99	$95.29	3
South Dakota	35	$114.84	$92.81	1
Colorado	34	$124.15	$93.11	2
Vermont	31	$165.77	$119.14	2
District of Columbia	25	$134.39	$93.11	1
Wisconsin	22	$73.18	$60.76	1
Nevada	19	$231.36	$144.51	1
Washington	16	$146.85	$108.89	1
Minnesota	15	$144.44	$102.73	1
Connecticut	15	$237.99	$161.29	1
Iowa	15	$107.72	$93.07	1
North Dakota	11	$108.24	$88.36	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
11622Removal of cancer skin growth of scalp$140.18
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
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.