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 11420 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.
Exc H F Nk Sp B9 Marg 0 5, Excision Benign Lesion Including Margins Except Skin Tag Unless Listed Elsewhere Scalp Neck Hands Feet Genitalia Excised Diameter 0 5 Cm Or Less
| 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 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11420 |
| Medicaid Fee Schedule | View Medicaid rates for 11420 |
National average reimbursement for CPT 11420 by major payers:
$142.64
$155.71
$164.38
$138.66
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 11420.
CPT 11420
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Southwest Fort Worth, LLC
Texas Health Surgery Center Southwest Fort Worth LLC
$1,963.00Published rateBanner Surgery Center
$675.00Published rateKaty Asc, Lp, Advanced Cardiovascular & Surgery Center At Methodist West Houston
$520.00Published rateBlue Ridge Day Surgery Center, Lp, Blue Ridge Day Surgery Center
Blue Ridge Day Surgery Center Lp
$427.00Published rateSurgery Center Of Conway Inc
Surgery Center Of Conway, Inc.
$250.00Published 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 11420 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11420 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 11420 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 |
|---|---|---|
| 11420-CPT | Low | Exc H F Nk Sp B9 Marg 0 5, Excision Benign Lesion Including Margins Except Skin Tag Unless Listed Elsewhere Scalp Neck Hands Feet Genitalia Excised Diameter 0 5 Cm Or Less |
| 11421-CPT | Low | Exc H F Nk Sp B9 Marg 0 6 1, Excision Benign Lesion Including Margins Except Skin Tag Unless Listed Elsewhere Scalp Neck Hands Feet Genitalia Excised Diameter 0 6 To 1 0 Cm |
| 11422-CPT | Low | Exc H F Nk Sp B9 Marg 1 1 2, Excision Benign Lesion Including Margins Except Skin Tag Unless Listed Elsewhere Scalp Neck Hands Feet Genitalia Excised Diameter 1 1 To 2 0 Cm |
| 11423-CPT | Moderate | Exc H F Nk Sp B9 Marg 2 1 3, Excision Benign Lesion Including Margins Except Skin Tag Unless Listed Elsewhere Scalp Neck Hands Feet Genitalia Excised Diameter 2 1 To 3 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11420 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 11420) and we'll show you how you compare in 15 minutes or less.