CPT 11301 · professional fee

Shave skin lesion 0.6-1.0 cm (CPT 11301): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 11301, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$85

P10 to P90: $48 to $192

vs Medicare

203%

facility rate $41.75

Payer spread

2.34×

UHC $138 vs Aetna $59

State spread

4.0×

AK $205 to AL $51

4,286 sampled providers5,614 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 11301 in the files analyzed, at $138, 134% above Aetna ($59), the lowest of the 4 payers shown.

The state spread is 4.0×: Alaska has the highest median at $205 and Alabama the lowest at $51, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 203% of the Medicare facility rate ($41.75), which ranks 32nd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $26) and widest within Cigna ($55).

This is a top-30 code for dermatology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

The Medicare comparison uses the facility rate: the non-facility rate ($116.24) is 2.8× higher because it includes device or supply cost that professional-fee contracts do not.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$138	$112	$206	+63%	1	3,619	330% of Medicare
Blue Cross Blue Shield	$80	$58	$110	-5%	2	3,317	192% of Medicare
Cigna	$73	$55	$110	-14%	3	3,511	174% of Medicare
Aetna	$59	$49	$75	-30%	4	3,020	141% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($41.75)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$205	+142%	n/a	n/a	16
2	Wisconsin	$160	+89%	UHC	Aetna	103
3	Hawaii	$159	+88%	UHC	Cigna	41
4	Nebraska	$144	+70%	UHC	BCBS	48
5	Washington	$141	+67%	UHC	Aetna	107
6	Minnesota	$137	+62%	UHC	Aetna	116
7	Massachusetts	$128	+52%	UHC	Aetna	116
8	Oregon	$127	+50%	UHC	Aetna	108
9	New Hampshire	$126	+49%	UHC	Aetna	78
10	South Dakota	$123	+45%	UHC	BCBS	37
11	North Dakota	$119	+40%	n/a	n/a	24
12	Maine	$118	+39%	UHC	Aetna	41
13	Mississippi	$113	+33%	BCBS	Cigna	55
14	Vermont	$110	+30%	UHC	Cigna	21
14	New York	$110	+30%	UHC	Aetna	107
16	Georgia	$108	+27%	UHC	Cigna	115
17	Iowa	$107	+26%	UHC	Aetna	63
18	Pennsylvania	$101	+20%	UHC	Aetna	117
19	Oklahoma	$94	+11%	UHC	Aetna	80
20	Rhode Island	$92	+9%	UHC	Aetna	48
21	West Virginia	$90	+6%	UHC	Cigna	31
22	Ohio	$89	+5%	UHC	Aetna	115
23	Illinois	$88	+4%	UHC	BCBS	113
24	Missouri	$87	+3%	UHC	Aetna	118
25	Nevada	$86	+1%	UHC	Aetna	65
26	Connecticut	$84	-1%	UHC	Aetna	109
27	Idaho	$82	-3%	UHC	Aetna	46
28	California	$81	-5%	UHC	Aetna	97
29	North Carolina	$80	-5%	UHC	Aetna	125
30	Montana	$80	-6%	UHC	Cigna	43
31	Louisiana	$80	-6%	UHC	Cigna	130
32	Utah	$77	-9%	UHC	Aetna	113
33	Tennessee	$76	-10%	UHC	Cigna	123
34	Colorado	$76	-11%	UHC	Aetna	125
35	South Carolina	$75	-12%	UHC	Aetna	107
36	Kentucky	$74	-13%	UHC	Aetna	112
37	New Mexico	$74	-13%	UHC	Aetna	34
38	Texas	$73	-14%	UHC	Aetna	134
39	Kansas	$72	-15%	UHC	Aetna	73
40	Arkansas	$72	-15%	UHC	Aetna	65
41	New Jersey	$68	-20%	UHC	Aetna	99
42	Delaware	$65	-23%	UHC	Aetna	18
43	Virginia	$64	-24%	UHC	BCBS	121
44	Indiana	$63	-25%	UHC	Aetna	116
45	Michigan	$60	-29%	UHC	BCBS	108
46	Florida	$60	-29%	UHC	Aetna	114
47	Maryland	$58	-32%	UHC	BCBS	108
48	District of Columbia	$54	-37%	UHC	Cigna	36
49	Arizona	$52	-38%	UHC	BCBS	104
50	Alabama	$51	-40%	UHC	BCBS	131

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 11301?

In the files we analyzed, UnitedHealthcare, at a median of $138 across 3,619 sampled providers. Aetna is lowest at $59, 134% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 203% of the 2026 Medicare facility rate of $41.75.

Which state has the highest median for CPT 11301?

Alaska has the highest median at $205; Alabama has the lowest at $51.

Is this the surgeon, physician or facility payment?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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