How much does Medicare pay for CPT 17111?

Medicare allowed an average of $124.75 per service and paid $90.65 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $278.67, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 17111?

Destruction of skin growth, 15 or more growths. It was billed 109,699 times to 78,201 Medicare beneficiaries by 2,511 providers in 2024.

Does 17111 pay differently in an office than a hospital?

Yes. The allowed amount averaged $125.01 in an office setting and $73.07 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 17111 most?

Dermatology, with 70,193 services from 1,456 clinicians. Next are Physician Assistant, Nurse Practitioner, Podiatry.

CPT 17111

Destruction of skin growth, 15 or more growths

$124.75Medicare-allowed amount per service, averaged across 109,699 services

Providers submitted

$278.67

Asking price, not received

Medicare allowed

$124.75

The fee schedule figure

Medicare paid

$90.65

Balance is patient coinsurance

Providers submitted an average of $278.67 for this code and Medicare allowed $124.75 — 2.2× 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 $90.65 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $125.01
Hospital / facility: $73.07

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. 109,161 services were billed in an office setting and 538 in a facility.

Services: 109,699
Beneficiaries: 78,201
Providers billing it: 2,511
Total allowed: $13,684,950

What Medicare pays for CPT 17111

Across 109,699 services billed by 2,511 providers to 78,201 beneficiaries, Medicare allowed an average of $124.75 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 17111

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	70,193	50,047	$131.93	1,456
Physician Assistant	23,564	17,638	$110.57	670
Nurse Practitioner	9,693	7,298	$107.45	301
Podiatry	2,188	841	$137.56	23
Internal Medicine	1,040	592	$126.18	14
General Practice	770	460	$76.17	5
Family Practice	754	470	$124.01	11
General Surgery	621	195	$127.70	4
Micrographic Dermatologic Surgery	353	309	$128.32	14
Otolaryngology	229	102	$131.64	4
Pathology	190	156	$133.81	3
Plastic and Reconstructive Surgery	67	58	$124.35	4
Clinic or Group Practice	19	18	$107.78	1
Preventive Medicine	18	17	$121.59	1

17111 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
California	27,460	$137.33	$91.27	393
Texas	11,769	$120.49	$86.42	242
Florida	9,184	$124.38	$89.66	236
New York	7,221	$133.93	$89.61	130
Maryland	5,183	$122.94	$83.67	63
Arizona	2,826	$119.50	$84.11	84
New Jersey	2,675	$137.71	$92.14	59
Michigan	2,449	$124.82	$88.04	78
Virginia	2,417	$127.79	$86.68	67
Pennsylvania	2,354	$117.54	$84.26	71
North Carolina	2,271	$114.03	$85.26	74
Georgia	2,172	$116.76	$86.69	67
Indiana	2,122	$111.43	$82.51	66
Illinois	2,040	$123.34	$86.15	77
Ohio	1,792	$115.66	$85.91	55
Oklahoma	1,789	$109.22	$81.89	55
Washington	1,731	$122.21	$83.26	47
South Carolina	1,730	$114.58	$87.67	41
Louisiana	1,655	$117.64	$90.41	37
Tennessee	1,479	$111.73	$84.58	56
Massachusetts	1,370	$114.97	$78.56	28
Nevada	1,202	$114.97	$82.29	27
Arkansas	1,178	$101.21	$80.67	32
New Mexico	1,132	$109.81	$87.08	16
Colorado	1,090	$129.65	$87.88	36
Alabama	919	$106.25	$85.12	29
Oregon	875	$118.95	$82.51	29
Missouri	871	$114.63	$87.73	30
Iowa	794	$106.86	$77.73	22
Kentucky	764	$105.09	$85.35	25
Nebraska	712	$113.96	$84.21	19
Utah	693	$114.55	$83.42	21
Wisconsin	693	$117.34	$85.46	26
Minnesota	608	$120.39	$86.84	22
Kansas	600	$107.07	$78.57	24
South Dakota	600	$107.12	$75.19	15
Hawaii	590	$138.72	$91.47	14
Mississippi	513	$104.24	$82.54	15
West Virginia	339	$106.96	$83.25	16
Delaware	318	$120.85	$88.94	9
Puerto Rico	289	$108.00	$81.43	6
Montana	255	$119.42	$86.70	6
Idaho	199	$105.89	$74.12	11
District of Columbia	164	$138.96	$93.68	6
Connecticut	115	$129.87	$84.37	6
Wyoming	111	$115.89	$78.77	6
Rhode Island	94	$131.53	$89.44	4
New Hampshire	77	$119.59	$76.43	3
Vermont	62	$91.36	$56.62	2
North Dakota	54	$85.51	$57.81	3
Maine	52	$119.51	$90.51	2
Alaska	36	$153.52	$87.25	2
U.S. Virgin Islands	11	$126.15	$71.36	1

Related codes

17110Destruction of skin growth$103.02
17108Destruction of birthmark$622.98
17106Destruction of birthmark$346.13
17107Destruction of birthmark$450.14

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.