Cost analysis for CPT 11055 — Removal of noncancer thickened skin growth, 1 growth
Average Medicare Payment
$49.07
2023 data
Total Payments (2023)
$37.6M
Services (2023)
735.7K
Price Change (2014–2023)
+50.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $32.69 | $30.0M | 886.5K | — |
| 2015 | $33.02 | $29.8M | 870.6K | +1.0% |
| 2016 | $32.30 | $29.1M | 869.2K | -2.2% |
| 2017 | $32.18 | $28.9M | 868.0K | -0.4% |
| 2018 | $32.73 | $29.7M | 874.5K | +1.7% |
| 2019 | $38.34 | $34.8M | 874.1K | +17.1% |
| 2020 | $42.65 | $30.2M | 682.1K | +11.2% |
| 2021 | $48.58 | $37.2M | 736.9K | +13.9% |
| 2022 | $50.14 | $38.1M | 728.8K | +3.2% |
| 2023 | $49.07 | $37.6M | 735.7K | -2.1% |
The most expensive state pays 2.1x more than the cheapest for this procedure. DC averages $60.53 vs ND at $28.90.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $60.53 | $63.2K | 1.0K | 13 |
| XX | $59.86 | $19.5K | 326 | 1 |
| NY | $58.69 | $3.4M | 58.5K | 495 |
| NJ | $58.66 | $2.5M | 41.9K | 368 |
| HI | $58.23 | $40.4K | 694 | 11 |
| CT | $56.87 | $758.9K | 13.3K | 99 |
| MA | $56.13 | $1.6M | 28.4K | 178 |
| MD | $55.99 | $1.7M | 30.4K | 214 |
| CA | $54.98 | $5.5M | 99.5K | 855 |
| RI | $51.74 | $435.4K | 8.4K | 53 |
| AZ | $51.39 | $928.9K | 18.1K | 199 |
| DE | $51.17 | $318.4K | 6.2K | 36 |
| NH | $50.82 | $75.0K | 1.5K | 19 |
| VA | $50.33 | $556.0K | 11.0K | 147 |
| NV | $50.07 | $354.2K | 7.1K | 50 |
| PA | $50.01 | $4.0M | 79.6K | 582 |
| CO | $49.80 | $276.3K | 5.5K | 61 |
| WY | $49.54 | $31.4K | 633 | 7 |
| MI | $49.19 | $941.6K | 19.1K | 222 |
| OR | $48.89 | $411.6K | 8.4K | 101 |
| MN | $48.43 | $416.6K | 8.6K | 80 |
| ME | $48.38 | $108.7K | 2.2K | 18 |
| FL | $48.28 | $2.3M | 47.4K | 365 |
| TX | $48.25 | $1.1M | 23.0K | 264 |
| IL | $48.23 | $2.4M | 50.1K | 319 |
| GA | $48.22 | $430.8K | 8.9K | 158 |
| WA | $47.88 | $669.7K | 14.0K | 163 |
| UT | $47.70 | $336.5K | 7.1K | 91 |
| OH | $47.06 | $1.0M | 21.6K | 288 |
| KY | $46.73 | $345.6K | 7.4K | 72 |
| NC | $46.66 | $588.0K | 12.6K | 165 |
| SC | $46.24 | $316.8K | 6.8K | 88 |
| MT | $46.11 | $155.7K | 3.4K | 33 |
| VT | $45.89 | $26.5K | 577 | 8 |
| OK | $45.60 | $173.2K | 3.8K | 46 |
| WI | $45.42 | $399.2K | 8.8K | 99 |
| AK | $45.28 | $10.0K | 220 | 7 |
| NM | $45.06 | $87.0K | 1.9K | 36 |
| AL | $44.74 | $142.7K | 3.2K | 50 |
| AR | $44.64 | $76.0K | 1.7K | 30 |
| IN | $44.47 | $517.9K | 11.6K | 122 |
| TN | $44.27 | $272.6K | 6.2K | 105 |
| MO | $43.76 | $643.3K | 14.7K | 135 |
| MS | $43.47 | $54.5K | 1.3K | 11 |
| KS | $42.45 | $240.3K | 5.7K | 48 |
| IA | $42.22 | $384.7K | 9.1K | 92 |
| WV | $41.84 | $69.7K | 1.7K | 32 |
| LA | $39.64 | $116.1K | 2.9K | 44 |
| NE | $38.92 | $122.5K | 3.1K | 39 |
| ID | $38.01 | $111.9K | 2.9K | 38 |
| SD | $28.97 | $56.6K | 2.0K | 21 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Firoozeh Ghadyary-Khorzooghy | Podiatry | AZ | $169.6K | 2.6K | $64.39 |
| Inessa Borochov | Podiatry | NY | $157.3K | 2.3K | $67.91 |
| Ankur Patel | Podiatry | CT | $152.7K | 2.5K | $61.49 |
| Todd Zang | Podiatry | NV | $145.8K | 2.9K | $49.83 |
| Arkady Kaplansky | Podiatry | CA | $114.4K | 1.7K | $65.53 |
| Mark Shelly | Podiatry | CA | $113.6K | 1.9K | $61.27 |
| Marshall Tarzy | Podiatry | MD | $111.3K | 2.0K | $54.62 |
| Christopher Minacapilli | Podiatry | NY | $107.8K | 1.9K | $57.09 |
| Lewis Wasserman | Podiatry | IL | $101.5K | 2.2K | $46.83 |
| Robert Lee | Podiatry | PA | $93.2K | 1.6K | $58.87 |
| Kevin Saluck | Podiatry | NJ | $90.4K | 1.6K | $56.84 |
| Jacob Hanlon | Podiatry | DE | $77.8K | 1.5K | $51.09 |
| Quinn Charbonneau | Podiatry | MA | $77.3K | 1.3K | $61.87 |
| Matthew Hakeman | Podiatry | FL | $74.2K | 1.6K | $45.93 |
| Kalyan Danneeru | Podiatry | NY | $73.9K | 1.5K | $48.55 |
| Eric Herrin | Podiatry | FL | $72.0K | 1.4K | $52.60 |
| Faysal Siddiqui | Podiatry | NY | $69.5K | 1.1K | $61.60 |
| Kathy Mize | Podiatry | IL | $68.7K | 1.2K | $55.20 |
| James Beaty | Podiatry | CA | $67.3K | 1.1K | $61.41 |
| Samuel Galitzer | Podiatry | MD | $65.7K | 1.1K | $61.82 |
The data suggests significant pricing inconsistencies for CPT 11055. With a 2.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 50.1% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.