Dermatology · Alabama

Dermatology commercial reimbursement in Alabama

How Alabama dermatology rates compare with the national market.

Dermatology in Alabama

44 codes · 131 sampled providers
Index vs national
77
23% below
Rank among states
48 of 50
1 = highest
Codes above national
5 of 44
median code at 77%
Providers
131
sampled

What the data shows

1

Dermatology ranks 48th of 50 states in Alabama with an index of 77 (100 = the specialty's national median), across 44 codes and 131 sampled providers.

2

Of the 44 dermatology codes with enough data in Alabama, 5 pay above the national median and 39 below; the typical code sits at 77% of the national median.

3

Largest premium over the national median: CPT 77280 (Ther rad simulaj field smpl) at 128%; largest discount: CPT 11102 (Tangntl bx skin single les) at 59%.

4

Measured against Medicare, Alabama dermatology rates have a median of 80% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeAlabamaNationalGapProv.
77280
Ther rad simulaj field smpl
$387$302+28%131
93000
Electrocardiogram complete
$25$21+19%130
88342
Imhchem/imcytchm 1st antb
$102$95+7%131
88305
Tissue exam by pathologist
$73$68+7%131
88312
Special stains group 1
$97$96+1%131

Lowest vs national

CodeAlabamaNationalGapProv.
11102
Tangntl bx skin single les
$38$65-41%131
11104
Punch bx skin single lesion
$48$81-41%131
11301
Shave skin lesion 0.6-1.0 cm
$51$85-40%131
11302
Shave skin lesion 1.1-2.0 cm
$60$98-39%131
17311
Mohs 1 stage h/n/hf/g
$359$577-38%131

All dermatology codes in Alabama

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeAlabamaNationalGap% of MedicareProvidersTINsLevel
CPT 77280
Ther rad simulaj field smpl
$387$302+28%144%131171
CPT 93000
Electrocardiogram complete
$25$21+19%165%130169
CPT 88342
Imhchem/imcytchm 1st antb
$102$95+7%92%131169
CPT 88305
Tissue exam by pathologist
$73$68+7%104%131169
CPT 88312
Special stains group 1
$97$96+1%89%131168
CPT 13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$466$498-6%95%131172
CPT 17004
Destroy premal lesions 15/>
$139$154-9%86%131170
CPT 13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$414$470-12%90%131171
CPT 14301
Tis trnfr any 30.1-60 sq cm
$1,002$1,155-13%89%131172
CPT 15260
Fth/gft fr n/e/e/l 20 sqcm/<
$929$1,078-14%93%131171
CPT 14061
Tis trnfr e/n/e/l10.1-30sqcm
$921$1,074-14%92%131173
CPT 14060
Tis trnfr e/n/e/l 10 sq cm/<
$711$835-15%92%131173
CPT 96574
Dbrdmt prmlg les w/pdt
$267$315-15%100%131169
CPT 14041
Tis trnfr f/c/c/m/n/a/g/h/f
$838$991-15%91%131171
CPT 14040
Tis trnfr f/c/c/m/n/a/g/h/f
$667$800-17%87%131171
CPT 99213
Office o/p est low 20 min
$61$76-20%64%131173
CPT 99214
Office o/p est mod 30 min
$88$110-20%65%131173
CPT 99212
Office o/p est sf 10 min
$35$44-20%59%131173
CPT 17282
Dstr mal ls f/e/e/n/l/m1.1-2
$155$195-21%77%131171
CPT 99215
Office o/p est hi 40 min
$122$155-21%63%131173
CPT 20610
Drain/inj joint/bursa w/o us
$55$70-21%80%130170
CPT 12052
Intmd rpr face/mm 2.6-5.0 cm
$222$289-23%71%131173
CPT 99202
Office o/p new sf 15 min
$53$70-23%71%131173
CPT 12042
Intmd rpr n-hf/genit2.6-7.5
$215$285-25%71%131171
CPT 12032
Intmd rpr s/a/t/ext 2.6-7.5
$211$280-25%70%131171
CPT 99203
Office o/p new low 30 min
$78$106-26%67%131173
CPT 17000
Destruct premalg lesion
$51$69-26%77%131171
CPT 99205
Office o/p new hi 60 min
$155$211-27%65%131173
CPT 13121
Cmplx rpr s/a/l 2.6-7.5 cm
$291$398-27%70%131171
CPT 13101
Cmplx rpr trunk 2.6-7.5 cm
$269$374-28%69%131172
CPT 96910
Photchmtx tar&uvb/ptrltm&uvb
$88$125-30%76%131167
CPT 11603
Exc tr-ext mal+marg 2.1-3 cm
$185$267-31%67%131170
CPT 99204
Office o/p new mod 45 min
$111$163-32%63%131173
CPT 17262
Dstrj mal les t/a/l 1.1-2.0
$111$163-32%64%131171
CPT 11602
Exc tr-ext mal+marg 1.1-2 cm
$154$228-32%64%131171
CPT 17111
Destruction b9 lesions 15/>
$80$120-33%62%131171
CPT 17261
Dstrj mal les t/a/l .6-1.0cm
$86$132-35%60%131170
CPT 17110
Destruction b9 les up to 14
$65$101-36%59%131171
CPT 17313
Mohs 1 stage t/a/l
$322$515-37%125%131174
CPT 17311
Mohs 1 stage h/n/hf/g
$359$577-38%125%131174
CPT 11302
Shave skin lesion 1.1-2.0 cm
$60$98-39%124%131170
CPT 11301
Shave skin lesion 0.6-1.0 cm
$51$85-40%122%131171
CPT 11104
Punch bx skin single lesion
$48$81-41%125%131171
CPT 11102
Tangntl bx skin single les
$38$65-41%127%131171

Frequently asked questions

How do Alabama dermatology rates compare with the rest of the country?

Alabama ranks 48th of 50 states with an index of 77; 5 of 44 codes are above the national median.

Which dermatology code has the biggest premium in Alabama?

CPT 77280 (Ther rad simulaj field smpl), at 128% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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