Cost analysis for CPT 11103 — Biopsy of related skin growth, each additional growth
Average Medicare Payment
$35.73
2023 data
Total Payments (2023)
$51.7M
Services (2023)
1.4M
Price Change (2019–2023)
-7.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $38.68 | $55.4M | 1.4M | — |
| 2020 | $39.01 | $49.0M | 1.2M | +0.9% |
| 2021 | $38.96 | $54.1M | 1.3M | -0.1% |
| 2022 | $36.76 | $51.2M | 1.3M | -5.6% |
| 2023 | $35.73 | $51.7M | 1.4M | -2.8% |
The most expensive state pays 2.0x more than the cheapest for this procedure. AK averages $44.45 vs ND at $22.33.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $44.45 | $42.2K | 949 | 14 |
| NY | $44.27 | $3.4M | 77.7K | 771 |
| NJ | $42.63 | $2.1M | 49.3K | 433 |
| CA | $42.04 | $5.6M | 134.3K | 1.2K |
| DC | $41.72 | $54.1K | 1.3K | 26 |
| HI | $41.36 | $114.6K | 2.8K | 34 |
| CT | $40.57 | $562.7K | 13.9K | 177 |
| MD | $40.25 | $873.3K | 21.7K | 273 |
| MA | $39.96 | $1.4M | 34.5K | 431 |
| CO | $38.40 | $719.7K | 18.7K | 272 |
| DE | $37.80 | $191.7K | 5.1K | 39 |
| PR | $37.62 | $30.7K | 816 | 13 |
| VA | $37.41 | $1.3M | 34.4K | 371 |
| FL | $37.32 | $10.9M | 292.9K | 1.6K |
| RI | $37.10 | $141.4K | 3.8K | 66 |
| IL | $36.74 | $1.5M | 40.2K | 442 |
| TX | $36.43 | $3.0M | 83.1K | 945 |
| PA | $36.16 | $2.1M | 57.0K | 555 |
| GU | $36.08 | $7.0K | 194 | 3 |
| WY | $36.08 | $83.3K | 2.3K | 25 |
| WA | $36.04 | $743.4K | 20.6K | 300 |
| NV | $35.96 | $332.2K | 9.2K | 105 |
| AZ | $35.63 | $1.8M | 49.5K | 412 |
| ME | $35.57 | $159.7K | 4.5K | 50 |
| OR | $35.50 | $432.5K | 12.2K | 189 |
| MI | $35.41 | $697.2K | 19.7K | 326 |
| MO | $34.37 | $678.8K | 19.8K | 229 |
| LA | $34.33 | $335.3K | 9.8K | 150 |
| GA | $34.22 | $1.8M | 52.0K | 448 |
| NC | $34.20 | $1.6M | 45.5K | 548 |
| NH | $34.15 | $185.2K | 5.4K | 69 |
| UT | $33.60 | $270.2K | 8.0K | 132 |
| KY | $33.53 | $553.1K | 16.5K | 177 |
| MN | $33.46 | $472.6K | 14.1K | 227 |
| OH | $33.42 | $913.4K | 27.3K | 403 |
| SC | $33.07 | $978.5K | 29.6K | 215 |
| OK | $32.95 | $308.7K | 9.4K | 121 |
| NM | $32.89 | $187.7K | 5.7K | 59 |
| AL | $32.88 | $740.4K | 22.5K | 219 |
| IN | $32.84 | $589.1K | 17.9K | 230 |
| MT | $32.68 | $177.6K | 5.4K | 62 |
| TN | $32.56 | $1.2M | 37.3K | 332 |
| KS | $32.36 | $337.9K | 10.4K | 124 |
| MS | $32.18 | $319.2K | 9.9K | 99 |
| NE | $31.54 | $182.4K | 5.8K | 74 |
| IA | $31.27 | $261.2K | 8.4K | 123 |
| AR | $30.79 | $316.2K | 10.3K | 120 |
| WI | $30.03 | $394.3K | 13.1K | 198 |
| ID | $29.49 | $154.7K | 5.2K | 90 |
| WV | $29.49 | $150.5K | 5.1K | 83 |
| VT | $29.08 | $51.5K | 1.8K | 27 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Eliahou Cohen | Dermatology | FL | $324.4K | 7.8K | $41.45 |
| Craig Kornreich | Dermatology | NY | $174.9K | 3.7K | $47.61 |
| Joseph Gretzula | Dermatology | FL | $143.2K | 3.4K | $41.78 |
| Scott Goffin | Dermatology | MA | $138.3K | 3.3K | $41.69 |
| Lawrence Wells | Dermatology | NY | $135.7K | 3.0K | $45.91 |
| Jackie Tripp | Dermatology | FL | $135.3K | 3.3K | $41.09 |
| Tanya Foreman | Dermatology | CA | $132.6K | 2.9K | $45.44 |
| Elie Lowenstein | Dermatology | NY | $131.3K | 2.8K | $47.74 |
| Leonard Shvartzman | Dermatology | FL | $127.6K | 3.2K | $39.39 |
| Jonathan Kantor | Dermatology | PA | $121.4K | 3.1K | $39.59 |
| Robert Kaplan | General Practice | TN | $116.8K | 3.2K | $36.25 |
| Allison Mccormick | Dermatology | CA | $112.2K | 2.5K | $44.18 |
| David Kiken | Dermatology | NJ | $110.8K | 2.4K | $45.84 |
| David Kosiorek | Physician Assistant | FL | $108.1K | 3.3K | $32.87 |
| Bridgit Nolan | Dermatology | FL | $102.6K | 2.5K | $40.96 |
| Brian Feinstein | Dermatology | FL | $102.2K | 2.5K | $41.70 |
| Terrence Hopkins | Dermatology | FL | $101.8K | 2.6K | $39.16 |
| Maria Canizares | Dermatology | MO | $101.7K | 2.9K | $35.06 |
| Harry Saperstein | Dermatology | CA | $101.4K | 2.2K | $46.60 |
| Steven Lutzker | Dermatology | CA | $101.2K | 2.5K | $40.85 |
Based on the data, CPT 11103 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 7.6% since 2019. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
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.