Dermatology · Minnesota

Dermatology commercial reimbursement in Minnesota

How Minnesota dermatology rates compare with the national market.

Dermatology in Minnesota

44 codes · 116 sampled providers
Index vs national
149
49% above
Rank among states
7 of 50
1 = highest
Codes above national
43 of 44
median code at 149%
Providers
116
sampled

What the data shows

1

Dermatology ranks 7th of 50 states in Minnesota with an index of 149 (100 = the specialty's national median), across 44 codes and 116 sampled providers.

2

Of the 44 dermatology codes with enough data in Minnesota, 43 pay above the national median and 1 below; the typical code sits at 149% of the national median.

3

Largest premium over the national median: CPT 99212 (Office o/p est sf 10 min) at 163%; largest discount: CPT 93000 (Electrocardiogram complete) at 89%.

4

Measured against Medicare, Minnesota dermatology rates have a median of 143% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeMinnesotaNationalGapProv.
99212
Office o/p est sf 10 min
$72$44+63%116
99214
Office o/p est mod 30 min
$178$110+62%116
11301
Shave skin lesion 0.6-1.0 cm
$137$85+62%116
11302
Shave skin lesion 1.1-2.0 cm
$157$98+60%116
11104
Punch bx skin single lesion
$129$81+60%116

Lowest vs national

CodeMinnesotaNationalGapProv.
93000
Electrocardiogram complete
$19$21-11%115
88305
Tissue exam by pathologist
$72$68+5%116
88342
Imhchem/imcytchm 1st antb
$107$95+13%116
77280
Ther rad simulaj field smpl
$340$302+13%115
88312
Special stains group 1
$111$96+16%116

All dermatology codes in Minnesota

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeMinnesotaNationalGap% of MedicareProvidersTINsLevel
CPT 99212
Office o/p est sf 10 min
$72$44+63%122%116125
CPT 99214
Office o/p est mod 30 min
$178$110+62%132%116125
CPT 11301
Shave skin lesion 0.6-1.0 cm
$137$85+62%328%116126
CPT 11302
Shave skin lesion 1.1-2.0 cm
$157$98+60%325%116125
CPT 11104
Punch bx skin single lesion
$129$81+60%339%116125
CPT 99213
Office o/p est low 20 min
$121$76+59%127%116125
CPT 11102
Tangntl bx skin single les
$103$65+59%342%116125
CPT 17282
Dstr mal ls f/e/e/n/l/m1.1-2
$309$195+58%154%115123
CPT 17313
Mohs 1 stage t/a/l
$814$515+58%316%116124
CPT 99202
Office o/p new sf 15 min
$108$70+56%144%116126
CPT 17311
Mohs 1 stage h/n/hf/g
$898$577+55%313%116124
CPT 17110
Destruction b9 les up to 14
$157$101+54%141%116126
CPT 17111
Destruction b9 lesions 15/>
$185$120+54%143%116125
CPT 17261
Dstrj mal les t/a/l .6-1.0cm
$201$132+52%139%116125
CPT 11602
Exc tr-ext mal+marg 1.1-2 cm
$347$228+52%144%116126
CPT 12032
Intmd rpr s/a/t/ext 2.6-7.5
$425$280+51%142%116125
CPT 99204
Office o/p new mod 45 min
$245$163+50%138%116126
CPT 17262
Dstrj mal les t/a/l 1.1-2.0
$244$163+50%141%116124
CPT 13101
Cmplx rpr trunk 2.6-7.5 cm
$560$374+50%143%116124
CPT 13121
Cmplx rpr s/a/l 2.6-7.5 cm
$596$398+50%143%116124
CPT 12052
Intmd rpr face/mm 2.6-5.0 cm
$433$289+50%139%116124
CPT 12042
Intmd rpr n-hf/genit2.6-7.5
$425$285+49%139%116124
CPT 11603
Exc tr-ext mal+marg 2.1-3 cm
$397$267+49%144%116124
CPT 20610
Drain/inj joint/bursa w/o us
$102$70+47%148%115122
CPT 99215
Office o/p est hi 40 min
$226$155+46%118%116124
CPT 14041
Tis trnfr f/c/c/m/n/a/g/h/f
$1,445$991+46%156%115124
CPT 14301
Tis trnfr any 30.1-60 sq cm
$1,675$1,155+45%150%115125
CPT 14040
Tis trnfr f/c/c/m/n/a/g/h/f
$1,149$800+44%150%116124
CPT 14060
Tis trnfr e/n/e/l 10 sq cm/<
$1,199$835+44%155%116124
CPT 96574
Dbrdmt prmlg les w/pdt
$451$315+43%169%115123
CPT 13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$667$470+42%144%116124
CPT 99203
Office o/p new low 30 min
$149$106+42%127%116125
CPT 13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$705$498+41%144%116124
CPT 17004
Destroy premal lesions 15/>
$217$154+41%133%116125
CPT 14061
Tis trnfr e/n/e/l10.1-30sqcm
$1,505$1,074+40%151%116124
CPT 15260
Fth/gft fr n/e/e/l 20 sqcm/<
$1,507$1,078+40%151%116124
CPT 17000
Destruct premalg lesion
$95$69+38%143%116126
CPT 96910
Photchmtx tar&uvb/ptrltm&uvb
$172$125+37%149%116121
CPT 99205
Office o/p new hi 60 min
$285$211+35%120%116124
CPT 88312
Special stains group 1
$111$96+16%102%116123
CPT 77280
Ther rad simulaj field smpl
$340$302+13%126%115120
CPT 88342
Imhchem/imcytchm 1st antb
$107$95+13%97%116123
CPT 88305
Tissue exam by pathologist
$72$68+5%102%116123
CPT 93000
Electrocardiogram complete
$19$21-11%123%11589

Frequently asked questions

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

Minnesota ranks 7th of 50 states with an index of 149; 43 of 44 codes are above the national median.

Which dermatology code has the biggest premium in Minnesota?

CPT 99212 (Office o/p est sf 10 min), at 163% 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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