Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 11107 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Incisional Biopsy Of Skin (Eg, Incisional Biopsy Of Skin (Eg Wedge) (Including Simple Closure When Performed) Each Separateadditional Lesion (List Separately In Addition To Codefor Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11107 |
| Medicaid Fee Schedule | View Medicaid rates for 11107 |
National average reimbursement for CPT 11107 by major payers:
$82.67
$93.67
$90.59
$67.21
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 11107.
CPT 11107
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Plano, LLC, Baylor Scott & White Surgicare - Plano
$1,446.00Published rateChristus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$365.00Published rateChesnut Institute Of Cosmetic & Reconstructive Surgery
Clinic 5c
$140.00Published rateWildcreek Surgery Center
$92.00Published rateTampa Fl Endoscopy Asc LLC, Tampa Bay Endoscopy Center
Tampa Fl Endoscopy Asc LLC
$50.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 11107 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11107 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11107 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11102-CPT | Low | Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Single Lesion |
| 11103-CPT | Low | Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette), Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette); Each Separate/Additional Lesion (List Separately In Addition To Code For Primary Procedure) |
| 11104-CPT | Low | Punch Biopsy Of Skin (Including Simple Closure When Performed), Punch Biopsy Of Skin (Including Simple Closure When Performed); Single Lesion |
| 11107-CPT | Low | Incisional Biopsy Of Skin (Eg, Incisional Biopsy Of Skin (Eg Wedge) (Including Simple Closure When Performed) Each Separateadditional Lesion (List Separately In Addition To Codefor Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11107. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11107 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 11107) and we'll show you how you compare in 15 minutes or less.