How much does Medicare pay for CPT 17314?

Medicare allowed an average of $395.35 per service and paid $315.80 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $852.89, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 17314?

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks. It was billed 61,993 times to 45,026 Medicare beneficiaries by 1,339 providers in 2024.

Does 17314 pay differently in an office than a hospital?

Yes. The allowed amount averaged $399.45 in an office setting and $175.63 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 17314 most?

Dermatology, with 51,099 services from 1,106 clinicians. Next are Micrographic Dermatologic Surgery, Undefined Physician type, Plastic and Reconstructive Surgery.

CPT 17314

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks

$395.35Medicare-allowed amount per service, averaged across 61,993 services

Providers submitted

$852.89

Asking price, not received

Medicare allowed

$395.35

The fee schedule figure

Medicare paid

$315.80

Balance is patient coinsurance

Providers submitted an average of $852.89 for this code and Medicare allowed $395.35 — 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 $315.80 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $399.45
Hospital / facility: $175.63

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. 60,857 services were billed in an office setting and 1,136 in a facility.

Services: 61,993
Beneficiaries: 45,026
Providers billing it: 1,339
Total allowed: $24,508,933

What Medicare pays for CPT 17314

Across 61,993 services billed by 1,339 providers to 45,026 beneficiaries, Medicare allowed an average of $395.35 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 17314

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	51,099	37,003	$395.96	1,106
Micrographic Dermatologic Surgery	10,122	7,427	$392.00	213
Undefined Physician type	284	208	$395.67	6
Plastic and Reconstructive Surgery	133	115	$411.57	3
Internal Medicine	122	94	$375.28	3
Otolaryngology	85	69	$411.65	3
General Practice	68	46	$432.26	1
Pathology	24	18	$358.92	1
Ophthalmology	19	15	$444.49	1
Osteopathic Manipulative Medicine	19	15	$378.30	1
Family Practice	18	16	$354.29	1

17314 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	12,028	$427.83	$303.22	204
Florida	9,904	$389.99	$307.75	185
New York	5,322	$438.26	$304.85	92
New Jersey	3,385	$427.99	$306.55	48
Texas	3,043	$372.47	$297.89	82
Pennsylvania	2,586	$381.04	$305.07	43
North Carolina	2,301	$371.17	$309.17	43
Arizona	2,158	$385.91	$309.36	47
Massachusetts	2,080	$380.82	$280.69	51
Georgia	1,777	$383.43	$309.91	39
Virginia	1,673	$389.82	$302.70	40
Illinois	1,547	$395.84	$303.99	37
Ohio	1,280	$352.74	$298.82	34
South Carolina	1,105	$363.02	$309.41	22
Indiana	1,032	$361.13	$302.65	19
Tennessee	1,027	$347.55	$302.61	34
Alabama	780	$336.95	$296.97	20
Washington	770	$374.58	$287.97	26
Arkansas	643	$336.95	$299.70	12
Maryland	631	$428.30	$309.82	17
Nevada	551	$391.30	$309.61	16
Colorado	531	$405.43	$309.68	19
Missouri	529	$365.42	$305.16	17
Michigan	529	$375.26	$306.07	20
Kentucky	514	$361.29	$309.77	15
Connecticut	368	$418.18	$309.61	14
Utah	345	$344.94	$285.10	8
Oklahoma	333	$362.87	$310.29	13
New Hampshire	313	$309.21	$238.70	11
Kansas	312	$336.02	$282.78	11
Louisiana	296	$322.97	$274.87	9
Rhode Island	264	$383.77	$295.23	7
Minnesota	258	$373.00	$296.45	11
Oregon	249	$401.98	$309.37	12
Wisconsin	220	$305.76	$255.22	10
West Virginia	157	$355.18	$310.16	5
Delaware	143	$399.66	$309.38	6
Iowa	127	$367.26	$309.99	5
Idaho	121	$377.61	$309.67	4
Hawaii	111	$435.72	$310.47	5
Montana	109	$389.83	$310.78	3
Mississippi	107	$359.53	$308.83	4
District of Columbia	101	$447.22	$309.10	2
New Mexico	97	$344.88	$278.59	5
Nebraska	84	$369.68	$309.16	4
South Dakota	79	$281.79	$232.16	4
Maine	61	$323.76	$266.62	3
Wyoming	12	$382.74	$310.30	1

Related codes

17311Removal and microscopic exam of growth of head$569.13
17312Removal and microscopic exam of growth of head$398.30
17313Removal and microscopic exam of growth of trunk$572.12
17315Removal and microscopic exam of growth$74.20
17360Chemical treatment of acne$123.75

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.