Dermatology · Louisiana

Dermatology commercial reimbursement in Louisiana

How Louisiana dermatology rates compare with the national market.

Dermatology in Louisiana

44 codes · 130 sampled providers
Index vs national
91
9% below
Rank among states
37 of 50
1 = highest
Codes above national
3 of 44
median code at 91%
Providers
130
sampled

What the data shows

1

Dermatology ranks 37th of 50 states in Louisiana with an index of 91 (100 = the specialty's national median), across 44 codes and 130 sampled providers.

2

Of the 44 dermatology codes with enough data in Louisiana, 3 pay above the national median and 41 below; the typical code sits at 91% of the national median.

3

Largest premium over the national median: CPT 88312 (Special stains group 1) at 105%; largest discount: CPT 11102 (Tangntl bx skin single les) at 85%.

4

Measured against Medicare, Louisiana dermatology rates have a median of 92% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeLouisianaNationalGapProv.
88312
Special stains group 1
$101$96+5%130
88305
Tissue exam by pathologist
$71$68+5%130
88342
Imhchem/imcytchm 1st antb
$99$95+4%130
20610
Drain/inj joint/bursa w/o us
$67$70-4%129
12032
Intmd rpr s/a/t/ext 2.6-7.5
$270$280-4%130

Lowest vs national

CodeLouisianaNationalGapProv.
11102
Tangntl bx skin single les
$55$65-15%130
11104
Punch bx skin single lesion
$68$81-15%130
17004
Destroy premal lesions 15/>
$134$154-13%130
99212
Office o/p est sf 10 min
$39$44-13%130
99213
Office o/p est low 20 min
$66$76-13%130

All dermatology codes in Louisiana

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeLouisianaNationalGap% of MedicareProvidersTINsLevel
CPT 88312
Special stains group 1
$101$96+5%92%130124
CPT 88305
Tissue exam by pathologist
$71$68+5%102%130127
CPT 88342
Imhchem/imcytchm 1st antb
$99$95+4%90%130127
CPT 20610
Drain/inj joint/bursa w/o us
$67$70-4%97%129129
CPT 12032
Intmd rpr s/a/t/ext 2.6-7.5
$270$280-4%90%130131
CPT 12042
Intmd rpr n-hf/genit2.6-7.5
$274$285-4%90%130131
CPT 12052
Intmd rpr face/mm 2.6-5.0 cm
$276$289-5%88%130130
CPT 13101
Cmplx rpr trunk 2.6-7.5 cm
$356$374-5%91%130130
CPT 13121
Cmplx rpr s/a/l 2.6-7.5 cm
$375$398-6%90%130131
CPT 11301
Shave skin lesion 0.6-1.0 cm
$80$85-6%191%130127
CPT 13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$466$498-6%95%130130
CPT 13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$439$470-7%95%130130
CPT 99202
Office o/p new sf 15 min
$65$70-7%86%130133
CPT 11602
Exc tr-ext mal+marg 1.1-2 cm
$212$228-7%88%130126
CPT 14041
Tis trnfr f/c/c/m/n/a/g/h/f
$922$991-7%100%129128
CPT 17313
Mohs 1 stage t/a/l
$478$515-7%186%130126
CPT 14040
Tis trnfr f/c/c/m/n/a/g/h/f
$739$800-8%96%129126
CPT 17261
Dstrj mal les t/a/l .6-1.0cm
$121$132-8%84%130126
CPT 17000
Destruct premalg lesion
$64$69-8%96%130132
CPT 99204
Office o/p new mod 45 min
$150$163-8%84%130133
CPT 14301
Tis trnfr any 30.1-60 sq cm
$1,058$1,155-8%94%129126
CPT 14060
Tis trnfr e/n/e/l 10 sq cm/<
$763$835-9%99%129126
CPT 17262
Dstrj mal les t/a/l 1.1-2.0
$149$163-9%86%130126
CPT 17111
Destruction b9 lesions 15/>
$110$120-9%84%130129
CPT 14061
Tis trnfr e/n/e/l10.1-30sqcm
$972$1,074-9%97%129126
CPT 11302
Shave skin lesion 1.1-2.0 cm
$89$98-10%183%130127
CPT 15260
Fth/gft fr n/e/e/l 20 sqcm/<
$973$1,078-10%97%129126
CPT 17110
Destruction b9 les up to 14
$92$101-10%82%130132
CPT 11603
Exc tr-ext mal+marg 2.1-3 cm
$241$267-10%87%130126
CPT 96574
Dbrdmt prmlg les w/pdt
$284$315-10%106%129126
CPT 99205
Office o/p new hi 60 min
$190$211-10%80%129132
CPT 17311
Mohs 1 stage h/n/hf/g
$519$577-10%181%130126
CPT 99203
Office o/p new low 30 min
$94$106-11%80%130132
CPT 99214
Office o/p est mod 30 min
$99$110-11%73%130132
CPT 77280
Ther rad simulaj field smpl
$269$302-11%100%129127
CPT 93000
Electrocardiogram complete
$19$21-11%123%129129
CPT 99215
Office o/p est hi 40 min
$137$155-11%71%129131
CPT 96910
Photchmtx tar&uvb/ptrltm&uvb
$111$125-11%97%128126
CPT 17282
Dstr mal ls f/e/e/n/l/m1.1-2
$173$195-11%86%129126
CPT 99213
Office o/p est low 20 min
$66$76-13%70%130132
CPT 99212
Office o/p est sf 10 min
$39$44-13%65%130132
CPT 17004
Destroy premal lesions 15/>
$134$154-13%82%130127
CPT 11104
Punch bx skin single lesion
$68$81-15%180%130131
CPT 11102
Tangntl bx skin single les
$55$65-15%183%130129

Frequently asked questions

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

Louisiana ranks 37th of 50 states with an index of 91; 3 of 44 codes are above the national median.

Which dermatology code has the biggest premium in Louisiana?

CPT 88312 (Special stains group 1), at 105% 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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