CPT 17311 · professional fee

Mohs 1 stage h/n/hf/g (CPT 17311): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 17311, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$577

P10 to P90: $338 to $1,262

vs Medicare

201%

facility rate $286.91

Payer spread

1.95×

UHC $796 vs Aetna $409

State spread

4.0×

AK $1,420 to AL $359

4,282 sampled providers5,628 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 17311 in the files analyzed, at $796, 95% above Aetna ($409), the lowest of the 4 payers shown.

The state spread is 4.0×: Alaska has the highest median at $1,420 and Alabama the lowest at $359, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 201% of the Medicare facility rate ($286.91), which ranks 33rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $178) and widest within Cigna ($391).

This is a top-2 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 ($667.02) is 2.3× 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	$796	$640	$1,218	+38%	1	3,626	277% of Medicare
Blue Cross Blue Shield	$570	$417	$739	-1%	2	3,336	199% of Medicare
Cigna	$506	$380	$770	-12%	3	3,501	176% of Medicare
Aetna	$409	$340	$519	-29%	4	2,919	142% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($286.91)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$1,420	+146%	n/a	n/a	16
2	Wisconsin	$1,243	+115%	UHC	Aetna	103
3	Nebraska	$1,078	+87%	UHC	BCBS	48
4	Oregon	$918	+59%	UHC	Aetna	108
5	Minnesota	$898	+55%	UHC	Aetna	116
6	Hawaii	$897	+55%	UHC	Cigna	41
7	New Hampshire	$878	+52%	UHC	Aetna	78
8	Washington	$854	+48%	UHC	Aetna	106
9	South Dakota	$851	+47%	UHC	BCBS	37
10	Massachusetts	$834	+44%	UHC	Aetna	116
11	Maine	$794	+38%	UHC	Aetna	41
12	Iowa	$771	+34%	Cigna	BCBS	63
13	North Dakota	$767	+33%	n/a	n/a	24
14	Georgia	$719	+25%	UHC	Cigna	116
15	Connecticut	$687	+19%	UHC	BCBS	109
16	Mississippi	$680	+18%	BCBS	Cigna	55
17	New York	$658	+14%	UHC	Aetna	107
18	Vermont	$639	+11%	UHC	Cigna	21
19	Pennsylvania	$634	+10%	UHC	Aetna	117
20	West Virginia	$630	+9%	Cigna	UHC	31
21	North Carolina	$621	+8%	BCBS	Aetna	125
22	Illinois	$615	+7%	UHC	Cigna	113
23	Michigan	$612	+6%	UHC	Aetna	108
24	Rhode Island	$578	+0%	UHC	Aetna	48
25	Nevada	$574	-1%	UHC	Aetna	65
26	Kansas	$573	-1%	UHC	Aetna	73
27	Idaho	$571	-1%	UHC	Aetna	46
28	Ohio	$569	-1%	UHC	Aetna	115
29	Missouri	$558	-3%	UHC	Aetna	118
30	Montana	$553	-4%	UHC	Cigna	42
31	Utah	$546	-5%	UHC	Aetna	113
32	Tennessee	$540	-6%	UHC	Cigna	123
33	New Mexico	$537	-7%	UHC	Aetna	33
34	Kentucky	$527	-9%	UHC	Aetna	112
35	Colorado	$525	-9%	UHC	Aetna	125
36	Louisiana	$519	-10%	UHC	Cigna	130
37	Arkansas	$504	-13%	UHC	Aetna	64
38	California	$500	-13%	UHC	Aetna	97
39	Texas	$497	-14%	UHC	Aetna	134
40	Delaware	$489	-15%	UHC	Aetna	18
41	South Carolina	$486	-16%	BCBS	Aetna	107
42	Oklahoma	$471	-18%	UHC	Aetna	80
43	New Jersey	$465	-19%	UHC	Aetna	99
44	Virginia	$453	-21%	UHC	BCBS	121
45	District of Columbia	$426	-26%	UHC	Cigna	36
45	Maryland	$426	-26%	UHC	BCBS	108
47	Indiana	$421	-27%	UHC	Aetna	116
48	Florida	$420	-27%	UHC	Aetna	113
49	Arizona	$379	-34%	UHC	BCBS	104
50	Alabama	$359	-38%	UHC	BCBS	131

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 17311?

In the files we analyzed, UnitedHealthcare, at a median of $796 across 3,626 sampled providers. Aetna is lowest at $409, 95% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 201% of the 2026 Medicare facility rate of $286.91.

Which state has the highest median for CPT 17311?

Alaska has the highest median at $1,420; Alabama has the lowest at $359.

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.

See how your contracts compare for CPT 17311

Benchmark your negotiated rates for 17311 and the rest of your book against these payer and state medians.

Request a rate benchmark