Cost analysis for CPT 11720 — Removal of fingernails or toenails, 1-5 nails
Average Medicare Payment
$23.00
2023 data
Total Payments (2023)
$44.1M
Services (2023)
1.8M
Price Change (2014–2023)
+2.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $22.50 | $50.8M | 2.2M | — |
| 2015 | $22.41 | $48.5M | 2.1M | -0.4% |
| 2016 | $22.14 | $48.0M | 2.1M | -1.2% |
| 2017 | $21.87 | $47.0M | 2.1M | -1.2% |
| 2018 | $22.72 | $48.7M | 2.1M | +3.9% |
| 2019 | $23.35 | $51.5M | 2.1M | +2.8% |
| 2020 | $23.07 | $38.9M | 1.6M | -1.2% |
| 2021 | $23.97 | $45.7M | 1.8M | +3.9% |
| 2022 | $23.17 | $44.4M | 1.9M | -3.3% |
| 2023 | $23.00 | $44.1M | 1.8M | -0.7% |
The most expensive state pays 1.7x more than the cheapest for this procedure. DC averages $28.43 vs SD at $16.71.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $28.43 | $110.0K | 3.9K | 16 |
| NY | $27.33 | $4.7M | 170.4K | 662 |
| NJ | $26.95 | $4.0M | 148.0K | 499 |
| CT | $26.29 | $629.0K | 23.9K | 96 |
| MD | $25.81 | $2.6M | 101.3K | 225 |
| CA | $25.40 | $5.9M | 231.6K | 692 |
| MA | $25.27 | $1.4M | 56.9K | 193 |
| NV | $24.45 | $231.1K | 9.5K | 32 |
| RI | $24.03 | $391.2K | 16.3K | 50 |
| FL | $23.64 | $2.5M | 105.8K | 404 |
| VA | $23.58 | $834.9K | 35.4K | 147 |
| DE | $23.55 | $326.7K | 13.9K | 35 |
| AZ | $23.53 | $548.0K | 23.3K | 122 |
| WA | $23.14 | $403.6K | 17.4K | 94 |
| HI | $23.08 | $40.6K | 1.8K | 10 |
| AK | $23.03 | $7.4K | 323 | 2 |
| PA | $22.90 | $4.4M | 191.6K | 582 |
| TX | $22.86 | $1.2M | 51.9K | 219 |
| IL | $22.65 | $3.0M | 133.4K | 306 |
| NH | $22.63 | $90.8K | 4.0K | 27 |
| MT | $22.63 | $50.9K | 2.3K | 20 |
| UT | $22.51 | $212.6K | 9.4K | 46 |
| CO | $22.32 | $246.5K | 11.0K | 43 |
| WY | $22.26 | $25.8K | 1.2K | 5 |
| OR | $22.26 | $219.5K | 9.9K | 55 |
| PR | $22.18 | $4.2K | 190 | 4 |
| MI | $22.12 | $901.8K | 40.8K | 231 |
| IN | $21.96 | $702.6K | 32.0K | 99 |
| NC | $21.92 | $1.2M | 55.4K | 158 |
| MS | $21.82 | $66.8K | 3.1K | 14 |
| GA | $21.80 | $483.2K | 22.2K | 120 |
| KY | $21.69 | $399.8K | 18.4K | 86 |
| OH | $21.62 | $2.0M | 91.6K | 336 |
| SC | $21.54 | $406.5K | 18.9K | 91 |
| LA | $21.42 | $105.3K | 4.9K | 39 |
| TN | $21.37 | $375.4K | 17.6K | 87 |
| MN | $21.29 | $220.3K | 10.3K | 52 |
| AR | $21.22 | $131.9K | 6.2K | 27 |
| NM | $21.15 | $39.2K | 1.9K | 27 |
| AL | $20.91 | $259.2K | 12.4K | 59 |
| ME | $20.90 | $68.0K | 3.3K | 20 |
| VT | $20.81 | $50.9K | 2.4K | 9 |
| KS | $20.63 | $316.3K | 15.3K | 32 |
| WI | $20.60 | $591.9K | 28.7K | 87 |
| MO | $20.49 | $784.2K | 38.3K | 133 |
| NE | $20.36 | $147.6K | 7.2K | 22 |
| WV | $20.13 | $238.5K | 11.8K | 38 |
| IA | $19.41 | $280.7K | 14.5K | 70 |
| OK | $19.36 | $88.9K | 4.6K | 32 |
| ID | $19.12 | $118.4K | 6.2K | 26 |
| ND | $17.25 | $5.6K | 322 | 10 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Farshid Nejad | Podiatry | CA | $180.7K | 6.3K | $28.54 |
| Bobby Pourziaee | Podiatry | CA | $168.3K | 6.5K | $25.70 |
| David Dardashti | Podiatry | CA | $148.3K | 5.3K | $28.14 |
| David Whitney | Podiatry | MA | $133.5K | 5.4K | $24.49 |
| Arkady Kaplansky | Podiatry | CA | $117.1K | 4.0K | $28.96 |
| Demetria Martin | Podiatry | WI | $113.4K | 5.7K | $20.01 |
| Marva Butters | Podiatry | NY | $106.9K | 3.6K | $30.07 |
| Todd Zang | Podiatry | NV | $105.6K | 4.3K | $24.71 |
| Hoan Van | Podiatry | CA | $104.1K | 3.6K | $28.64 |
| Samuel Galitzer | Podiatry | MD | $99.0K | 3.5K | $27.90 |
| Gregory Spain | Podiatry | FL | $97.9K | 4.0K | $24.74 |
| Noelis Rosario | Podiatry | FL | $93.9K | 3.9K | $24.11 |
| Ryan Taylor | Podiatry | UT | $93.5K | 3.8K | $24.72 |
| Romain Onteniente | Podiatry | FL | $92.3K | 3.8K | $24.06 |
| Jonathan Tiongson | Podiatry | CA | $89.4K | 3.2K | $28.11 |
| Christopher Surtman | Podiatry | KS | $89.0K | 3.9K | $22.97 |
| Albert Daly | Podiatry | MA | $88.6K | 3.4K | $26.26 |
| Terry Zucker | Podiatry | IL | $87.8K | 4.4K | $20.03 |
| Sheriar Demehri | Podiatry | MD | $86.3K | 3.3K | $26.30 |
| Joseph Gatlin | Podiatry | IL | $85.0K | 3.6K | $23.61 |
Based on the data, CPT 11720 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 2.2% since 2014. 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.