Cost analysis for CPT 17004 — Destruction of precancer skin growth, 15 or more growths
Average Medicare Payment
$115.85
2023 data
Total Payments (2023)
$96.3M
Services (2023)
802.1K
Price Change (2014–2023)
+9.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $105.76 | $80.7M | 744.0K | — |
| 2015 | $106.90 | $87.4M | 797.5K | +1.1% |
| 2016 | $105.24 | $90.2M | 833.9K | -1.6% |
| 2017 | $103.77 | $89.1M | 834.9K | -1.4% |
| 2018 | $100.26 | $83.9M | 813.5K | -3.4% |
| 2019 | $107.14 | $90.5M | 821.6K | +6.9% |
| 2020 | $111.02 | $80.7M | 706.5K | +3.6% |
| 2021 | $117.76 | $95.2M | 781.2K | +6.1% |
| 2022 | $116.46 | $95.3M | 790.0K | -1.1% |
| 2023 | $115.85 | $96.3M | 802.1K | -0.5% |
The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $143.14 vs ID at $93.48.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $143.14 | $6.2M | 43.1K | 450 |
| AK | $142.45 | $22.9K | 161 | 6 |
| DC | $141.70 | $155.7K | 1.1K | 21 |
| NJ | $137.66 | $2.7M | 19.4K | 240 |
| CA | $137.12 | $20.2M | 147.7K | 1.2K |
| CT | $132.86 | $695.4K | 5.2K | 84 |
| MD | $132.40 | $2.0M | 15.2K | 182 |
| MA | $130.89 | $1.9M | 14.8K | 246 |
| PR | $126.72 | $84.3K | 665 | 7 |
| HI | $126.52 | $694.7K | 5.5K | 38 |
| RI | $122.75 | $212.4K | 1.7K | 32 |
| CO | $122.40 | $1.5M | 12.3K | 207 |
| VA | $121.08 | $2.4M | 19.5K | 249 |
| PA | $120.53 | $1.9M | 16.0K | 254 |
| DE | $118.69 | $323.3K | 2.7K | 34 |
| FL | $118.38 | $13.5M | 113.8K | 1.2K |
| MN | $118.32 | $467.4K | 4.0K | 92 |
| MI | $116.49 | $1.4M | 11.6K | 194 |
| NV | $115.81 | $1.9M | 16.4K | 110 |
| TX | $114.62 | $6.5M | 56.5K | 715 |
| IL | $114.10 | $2.0M | 17.8K | 276 |
| WY | $113.75 | $103.1K | 906 | 15 |
| ME | $113.62 | $140.5K | 1.2K | 19 |
| NH | $113.58 | $286.7K | 2.5K | 45 |
| WA | $112.32 | $1.3M | 11.9K | 177 |
| MT | $111.93 | $380.4K | 3.4K | 46 |
| AZ | $111.90 | $2.9M | 26.3K | 317 |
| VT | $110.70 | $21.4K | 193 | 9 |
| MO | $110.55 | $1.2M | 10.7K | 139 |
| OR | $109.85 | $723.4K | 6.6K | 122 |
| GA | $109.09 | $2.6M | 23.5K | 307 |
| NC | $109.02 | $2.4M | 22.1K | 343 |
| LA | $108.88 | $1.4M | 12.6K | 123 |
| OH | $107.77 | $1.5M | 14.2K | 263 |
| IN | $106.99 | $1.3M | 12.5K | 177 |
| UT | $106.70 | $1.1M | 10.6K | 114 |
| SC | $106.65 | $2.2M | 20.4K | 171 |
| KY | $106.38 | $1.0M | 9.6K | 121 |
| WI | $105.37 | $469.8K | 4.5K | 88 |
| NM | $104.37 | $513.4K | 4.9K | 55 |
| AL | $103.71 | $1.2M | 11.8K | 178 |
| KS | $103.70 | $550.1K | 5.3K | 89 |
| OK | $103.42 | $813.2K | 7.9K | 103 |
| TN | $103.31 | $1.7M | 16.1K | 254 |
| MS | $102.81 | $816.2K | 7.9K | 75 |
| NE | $102.17 | $518.0K | 5.1K | 62 |
| AR | $101.75 | $745.5K | 7.3K | 92 |
| WV | $100.05 | $124.3K | 1.2K | 34 |
| ND | $98.84 | $113.3K | 1.1K | 22 |
| IA | $97.30 | $768.8K | 7.9K | 93 |
| SD | $96.66 | $212.9K | 2.2K | 34 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Tinyee Chang | Dermatology | CA | $463.4K | 3.6K | $129.71 |
| Zachary Cooper | Dermatology | CA | $336.2K | 2.6K | $129.97 |
| Kathleen Vine | Dermatology | NY | $323.0K | 2.0K | $159.49 |
| Curt Samlaska | Dermatology | NV | $311.8K | 2.6K | $119.11 |
| Gangaram Ragi | Dermatology | NJ | $310.7K | 2.1K | $147.02 |
| Lionel Handler | Micrographic Dermatologic Surgery | NV | $291.9K | 2.3K | $125.23 |
| Sam Smith | Dermatology | AZ | $289.4K | 2.3K | $127.00 |
| Matthew Luxenberg | Dermatology | CA | $282.4K | 1.9K | $150.30 |
| John Humeniuk | Dermatology | SC | $239.8K | 2.2K | $108.99 |
| Amarpaul Sidhu | Dermatology | CA | $237.2K | 1.7K | $143.47 |
| Maryam Sickinger | Dermatology | CA | $234.3K | 1.7K | $137.15 |
| Kevin Kia | Dermatology | TX | $214.4K | 1.9K | $111.82 |
| Clay Shearer | Dermatology | KY | $205.8K | 1.9K | $105.82 |
| David Casper | Dermatology | FL | $192.3K | 1.5K | $124.49 |
| Lawrence Wells | Dermatology | NY | $191.6K | 1.3K | $151.71 |
| Robert Weinberg | Dermatology | NY | $188.1K | 1.2K | $159.57 |
| John Shen | Dermatology | CA | $182.5K | 1.4K | $131.32 |
| Dina Hunter | Dermatology | SC | $182.5K | 1.6K | $115.58 |
| Sanjiv Saini | Dermatology | MD | $177.4K | 1.3K | $137.95 |
| David Kiken | Dermatology | NJ | $175.4K | 1.2K | $150.97 |
Based on the data, CPT 17004 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 9.5% 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.