Cost analysis for CPT 17312 — Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 2.1x more than the cheapest for this procedure. DC averages $384.42 vs ND at $182.71.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $384.42 | $197.6K | 514 | 4 |
| NY | $364.31 | $8.9M | 24.4K | 136 |
| NJ | $362.29 | $5.1M | 14.1K | 65 |
| CA | $358.21 | $22.9M | 63.8K | 388 |
| MD | $356.97 | $2.5M | 7.1K | 37 |
| CT | $354.25 | $1.6M | 4.5K | 27 |
| HI | $349.57 | $285.9K | 818 | 8 |
| AK | $346.53 | $117.5K | 339 | 3 |
| CO | $335.91 | $3.0M | 9.0K | 68 |
| DE | $334.13 | $496.9K | 1.5K | 9 |
| WY | $330.07 | $168.3K | 510 | 6 |
| VA | $326.24 | $4.5M | 13.9K | 52 |
| IL | $325.69 | $4.8M | 14.6K | 77 |
| FL | $325.40 | $20.4M | 62.7K | 330 |
| NV | $323.32 | $1.7M | 5.2K | 30 |
| MA | $321.01 | $4.5M | 14.1K | 64 |
| WA | $319.46 | $3.0M | 9.3K | 63 |
| RI | $317.66 | $526.0K | 1.7K | 9 |
| AZ | $316.95 | $5.6M | 17.6K | 98 |
| GA | $313.71 | $5.2M | 16.5K | 78 |
| OR | $312.92 | $1.3M | 4.1K | 34 |
| TX | $311.73 | $9.5M | 30.3K | 179 |
| NC | $307.27 | $6.3M | 20.4K | 84 |
| PA | $305.05 | $6.0M | 19.6K | 100 |
| MI | $303.81 | $2.5M | 8.2K | 61 |
| SC | $302.07 | $2.7M | 9.0K | 34 |
| MN | $298.28 | $1.9M | 6.3K | 62 |
| MO | $296.95 | $2.5M | 8.5K | 52 |
| KY | $296.37 | $1.9M | 6.5K | 28 |
| MT | $295.63 | $631.8K | 2.1K | 12 |
| OH | $294.85 | $4.5M | 15.2K | 84 |
| IN | $294.41 | $2.4M | 8.2K | 43 |
| MS | $292.75 | $801.8K | 2.7K | 15 |
| TN | $292.36 | $3.5M | 11.8K | 64 |
| KS | $291.75 | $1.8M | 6.0K | 25 |
| NE | $288.89 | $680.6K | 2.4K | 20 |
| OK | $288.52 | $1.5M | 5.2K | 24 |
| WV | $288.13 | $671.3K | 2.3K | 8 |
| AL | $288.03 | $1.8M | 6.3K | 39 |
| LA | $287.49 | $1.1M | 3.7K | 24 |
| AR | $286.57 | $2.2M | 7.6K | 33 |
| NM | $286.51 | $685.6K | 2.4K | 9 |
| UT | $284.40 | $1.3M | 4.4K | 40 |
| IA | $278.74 | $920.1K | 3.3K | 25 |
| ID | $278.69 | $624.3K | 2.2K | 23 |
| NH | $273.05 | $815.6K | 3.0K | 14 |
| ME | $269.49 | $211.8K | 786 | 8 |
| SD | $266.58 | $609.7K | 2.3K | 14 |
| WI | $242.26 | $1.5M | 6.0K | 47 |
| VT | $201.47 | $98.9K | 491 | 4 |
| ND | $182.71 | $171.4K | 938 | 6 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| James Keane | Dermatology | AR | $1.1M | 3.8K | $299.35 |
| Daniel Shurman | Dermatology | PA | $660.7K | 2.1K | $317.47 |
| Santiago Centurion | Dermatology | CA | $504.8K | 1.4K | $370.39 |
| Arash Kimyai-Asadi | Dermatology | TX | $472.5K | 1.5K | $323.65 |
| Catherine Lee | Dermatology | CA | $448.8K | 1.2K | $379.99 |
| Todd Coven | Micrographic Dermatologic Surgery | NY | $443.5K | 1.2K | $381.31 |
| Ronald Shiell | Dermatology | CA | $413.2K | 1.2K | $354.67 |
| Thi Tran | Dermatology | FL | $392.6K | 1.2K | $324.46 |
| David Kouba | Dermatology | OH | $388.6K | 1.3K | $306.95 |
| Kevin Brough | Micrographic Dermatologic Surgery | KS | $381.1K | 1.3K | $301.01 |
| Scott Warren | Dermatology | FL | $368.5K | 1.1K | $322.66 |
| Andrew Breithaupt | Dermatology | CA | $364.0K | 990 | $367.67 |
| Robert Sollitto | Micrographic Dermatologic Surgery | NJ | $359.4K | 1.1K | $330.06 |
| Lawrence Chang | Dermatology | VA | $355.6K | 1.1K | $325.03 |
| Robert Clark | Micrographic Dermatologic Surgery | NC | $352.0K | 1.1K | $313.98 |
| Marc Handler | Micrographic Dermatologic Surgery | NJ | $335.3K | 935 | $358.59 |
| William Cook | Micrographic Dermatologic Surgery | SC | $332.5K | 1.1K | $302.00 |
| David Kiken | Dermatology | NJ | $332.0K | 889 | $373.47 |
| Monika Srivastava | Dermatology | FL | $325.9K | 951 | $342.73 |
| Carlos Paz | Dermatology | CA | $324.7K | 959 | $338.62 |
The data suggests significant pricing inconsistencies for CPT 17312. 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 remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.