CPT 11603 · professional fee

Exc tr-ext mal+marg 2.1-3 cm (CPT 11603): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 11603, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$267

P10 to P90: $179 to $564

vs Medicare

97%

non-facility rate $276.23

Payer spread

1.55×

UHC $333 vs Aetna $215

State spread

3.9×

AK $713 to AL $185

4,285 sampled providers5,593 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 11603 in the files analyzed, at $333, 55% above Aetna ($215), the lowest of the 4 payers shown.

The state spread is 3.9×: Alaska has the highest median at $713 and Alabama the lowest at $185, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 97% of the Medicare non-facility rate ($276.23), which ranks 201st of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $81) and widest within UnitedHealthcare ($249).

This is a top-31 code for dermatology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$333	$271	$520	+25%	1	3,645	121% of Medicare
Blue Cross Blue Shield	$265	$215	$357	-1%	2	3,311	96% of Medicare
Cigna	$258	$201	$370	-3%	3	3,534	93% of Medicare
Aetna	$215	$184	$265	-19%	4	3,037	78% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($276.23)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$713	+167%	n/a	n/a	16
2	Wisconsin	$571	+114%	UHC	Aetna	103
3	Nebraska	$449	+68%	UHC	BCBS	48
3	South Dakota	$449	+68%	UHC	BCBS	37
5	Oregon	$422	+58%	UHC	Aetna	108
6	New Hampshire	$399	+50%	UHC	Aetna	78
7	Minnesota	$397	+49%	BCBS	Aetna	116
8	Iowa	$394	+48%	Cigna	Aetna	63
9	Massachusetts	$391	+46%	UHC	Aetna	116
10	Washington	$383	+44%	UHC	Aetna	106
11	North Dakota	$383	+43%	n/a	n/a	24
12	Maine	$371	+39%	UHC	Aetna	41
13	Georgia	$370	+39%	UHC	Aetna	116
14	Hawaii	$364	+36%	Cigna	UHC	41
15	Mississippi	$344	+29%	BCBS	Cigna	55
16	Montana	$303	+14%	UHC	Cigna	43
17	Idaho	$303	+13%	BCBS	Aetna	46
18	Vermont	$297	+11%	UHC	BCBS	21
19	Illinois	$292	+9%	UHC	Cigna	113
20	New York	$283	+6%	UHC	Aetna	107
21	Connecticut	$282	+6%	UHC	Aetna	109
22	Colorado	$276	+4%	UHC	Aetna	125
23	Rhode Island	$266	-0%	UHC	Aetna	48
24	Kansas	$265	-1%	UHC	Aetna	73
25	Utah	$265	-1%	UHC	Aetna	113
26	Michigan	$260	-3%	UHC	Aetna	108
26	Texas	$260	-3%	UHC	Aetna	134
28	Pennsylvania	$258	-3%	UHC	Aetna	114
29	Nevada	$257	-4%	UHC	Aetna	65
30	Missouri	$256	-4%	UHC	Aetna	118
31	Arkansas	$254	-5%	UHC	Aetna	65
32	New Mexico	$251	-6%	UHC	Aetna	33
33	Oklahoma	$251	-6%	UHC	Aetna	80
34	West Virginia	$251	-6%	Cigna	UHC	31
35	North Carolina	$248	-7%	UHC	Aetna	125
36	Tennessee	$246	-8%	UHC	Aetna	123
37	Ohio	$245	-8%	UHC	BCBS	115
38	Louisiana	$241	-10%	UHC	Cigna	130
39	California	$237	-11%	UHC	Aetna	98
40	Virginia	$229	-14%	UHC	BCBS	121
41	South Carolina	$228	-15%	UHC	BCBS	109
42	Delaware	$227	-15%	UHC	Aetna	18
43	Kentucky	$220	-17%	UHC	Aetna	112
44	New Jersey	$220	-18%	BCBS	Aetna	99
45	Maryland	$216	-19%	UHC	BCBS	108
46	Indiana	$215	-19%	UHC	Aetna	116
47	Florida	$204	-23%	UHC	Aetna	114
48	Arizona	$197	-26%	UHC	BCBS	104
49	District of Columbia	$195	-27%	UHC	Cigna	36
50	Alabama	$185	-31%	UHC	BCBS	131

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 11603?

In the files we analyzed, UnitedHealthcare, at a median of $333 across 3,645 sampled providers. Aetna is lowest at $215, 55% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 97% of the 2026 Medicare non-facility rate of $276.23.

Which state has the highest median for CPT 11603?

Alaska has the highest median at $713; Alabama has the lowest at $185.

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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