Dermatology · Maryland

Dermatology commercial reimbursement in Maryland

How Maryland dermatology rates compare with the national market.

Dermatology in Maryland

44 codes · 109 sampled providers
Index vs national
80
20% below
Rank among states
46 of 50
1 = highest
Codes above national
0 of 44
median code at 80%
Providers
109
sampled

What the data shows

1

Dermatology ranks 46th of 50 states in Maryland with an index of 80 (100 = the specialty's national median), across 44 codes and 109 sampled providers.

2

Of the 44 dermatology codes with enough data in Maryland, 0 pay above the national median and 44 below; the typical code sits at 80% of the national median.

3

Largest premium over the national median: CPT 88342 (Imhchem/imcytchm 1st antb) at 94%; largest discount: CPT 11301 (Shave skin lesion 0.6-1.0 cm) at 68%.

4

Measured against Medicare, Maryland dermatology rates have a median of 78% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeMarylandNationalGapProv.
88342
Imhchem/imcytchm 1st antb
$89$95-6%109
96910
Photchmtx tar&uvb/ptrltm&uvb
$116$125-8%108
88305
Tissue exam by pathologist
$62$68-9%109
17000
Destruct premalg lesion
$63$69-9%108
96574
Dbrdmt prmlg les w/pdt
$268$315-15%108

Lowest vs national

CodeMarylandNationalGapProv.
11301
Shave skin lesion 0.6-1.0 cm
$58$85-32%108
11104
Punch bx skin single lesion
$56$81-30%109
11102
Tangntl bx skin single les
$45$65-30%109
11302
Shave skin lesion 1.1-2.0 cm
$71$98-28%109
93000
Electrocardiogram complete
$16$21-27%108

All dermatology codes in Maryland

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeMarylandNationalGap% of MedicareProvidersTINsLevel
CPT 88342
Imhchem/imcytchm 1st antb
$89$95-6%81%109210
CPT 96910
Photchmtx tar&uvb/ptrltm&uvb
$116$125-8%101%108211
CPT 88305
Tissue exam by pathologist
$62$68-9%89%109211
CPT 17000
Destruct premalg lesion
$63$69-9%94%108214
CPT 96574
Dbrdmt prmlg les w/pdt
$268$315-15%100%108211
CPT 15260
Fth/gft fr n/e/e/l 20 sqcm/<
$906$1,078-16%91%108214
CPT 14040
Tis trnfr f/c/c/m/n/a/g/h/f
$671$800-16%87%108209
CPT 14060
Tis trnfr e/n/e/l 10 sq cm/<
$696$835-17%90%109210
CPT 14041
Tis trnfr f/c/c/m/n/a/g/h/f
$820$991-17%88%108209
CPT 14301
Tis trnfr any 30.1-60 sq cm
$952$1,155-18%85%108214
CPT 99205
Office o/p new hi 60 min
$174$211-18%73%109214
CPT 14061
Tis trnfr e/n/e/l10.1-30sqcm
$881$1,074-18%88%108209
CPT 12032
Intmd rpr s/a/t/ext 2.6-7.5
$229$280-18%76%108209
CPT 17262
Dstrj mal les t/a/l 1.1-2.0
$133$163-18%76%108214
CPT 13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$404$498-19%82%108209
CPT 11603
Exc tr-ext mal+marg 2.1-3 cm
$216$267-19%78%108209
CPT 99204
Office o/p new mod 45 min
$131$163-20%74%109210
CPT 99215
Office o/p est hi 40 min
$124$155-20%64%109209
CPT 12052
Intmd rpr face/mm 2.6-5.0 cm
$231$289-20%74%109210
CPT 17110
Destruction b9 les up to 14
$81$101-20%73%109215
CPT 13101
Cmplx rpr trunk 2.6-7.5 cm
$298$374-20%76%108214
CPT 88312
Special stains group 1
$77$96-20%70%109211
CPT 11602
Exc tr-ext mal+marg 1.1-2 cm
$181$228-21%75%108209
CPT 77280
Ther rad simulaj field smpl
$240$302-21%89%108209
CPT 17111
Destruction b9 lesions 15/>
$95$120-21%73%109215
CPT 99203
Office o/p new low 30 min
$83$106-21%71%109214
CPT 13121
Cmplx rpr s/a/l 2.6-7.5 cm
$311$398-22%74%108209
CPT 13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$367$470-22%79%108209
CPT 12042
Intmd rpr n-hf/genit2.6-7.5
$223$285-22%73%108209
CPT 17004
Destroy premal lesions 15/>
$120$154-22%74%108214
CPT 99213
Office o/p est low 20 min
$59$76-23%62%109214
CPT 99214
Office o/p est mod 30 min
$85$110-23%63%109214
CPT 17261
Dstrj mal les t/a/l .6-1.0cm
$101$132-23%70%108209
CPT 17282
Dstr mal ls f/e/e/n/l/m1.1-2
$149$195-24%75%108209
CPT 99202
Office o/p new sf 15 min
$53$70-24%70%109215
CPT 99212
Office o/p est sf 10 min
$34$44-24%56%109209
CPT 20610
Drain/inj joint/bursa w/o us
$52$70-25%76%109211
CPT 17313
Mohs 1 stage t/a/l
$384$515-25%149%108214
CPT 17311
Mohs 1 stage h/n/hf/g
$426$577-26%148%108214
CPT 93000
Electrocardiogram complete
$16$21-27%101%108205
CPT 11302
Shave skin lesion 1.1-2.0 cm
$71$98-28%146%109210
CPT 11102
Tangntl bx skin single les
$45$65-30%151%109215
CPT 11104
Punch bx skin single lesion
$56$81-30%148%109215
CPT 11301
Shave skin lesion 0.6-1.0 cm
$58$85-32%139%108209

Frequently asked questions

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

Maryland ranks 46th of 50 states with an index of 80; 0 of 44 codes are above the national median.

Which dermatology code has the biggest premium in Maryland?

CPT 88342 (Imhchem/imcytchm 1st antb), at 94% 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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