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CPT 11771 Fee Schedule

Last Verified: January 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 Pilonidal Cyst/Sinus Extensive
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

GC - Service performed by resident under supervision

UB

Complexity LevelModerate

National average reimbursement for CPT 11771 by major payers:

bcbs

$683.75

uhc

$733.83

aetna

$792.40

cigna

$980.90

Preview provider-level rates for...
For billing codeCPT 11771
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 11771

United
11771$1100.001306135298 - DMG PAIN MANAGEMENT SURGERY CENTER, LLC271322187 - (IL) DMG PAIN MANAGEMENT SURGERY CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1591.001962402503 - NORTH KITSAP AMBULATORY SURGERY CENTER, LLC, PACIFIC SURGERY CENTER911276412 - (WA) NORTH KITSAP AMBULATORY CENTER, INC. DBA PACIFIC SURGERY CENTERWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$9514.001881678662 - SURGERY AFFILIATE OF EL PASO, LLC, FOUNDATION SURGERY AFFILIATE OF EL PASO, LLC742797719 - (TX) SURGERY AFFILIATE OF EL PASO LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1320.001063819860 - TYLER ASC, LP, TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER471418553TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$598.001275501512 - NORTHWEST KANSAS SURGERY CENTER, LLC481209668 - (KS) NORTHWEST KANSAS SURGERY CENTER LLCKSAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$2081.001659953636 - VCU HEALTH AMBULATORY SURGERY CENTER, LLC863310585 - (VA) VCU HEALTH AMBULATORY SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1098.001093786501 - SURGERY CENTER OF EASTON LP, HEALTHSOUTH SURGERY CENTER OF EASTON, L.P.721349755 - (MD) SURGERY CENTER OF EASTON LPMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1620.001215245238 - AMERICAN ACCESS CARE OF NEW JERSEY, LLC, AZURA SURGERY CENTER CHERRY HILL223783657 - (NJ) AMERICAN ACCESS CARE OF NEW JERSEY LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$2206.001043803877 - PALM BEACH INTERNATIONAL SURGERY CENTER LLC, PALM BEACH INTERNATIONAL SURGERY CENTER AT THE PALEY INSTITUTE384092545 - (FL) PALM BEACH INTERNATIONAL SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1300.001962661884 - ACD-SA, LTD., SENDERO IMAGING AND TREATMENT CENTER742822681TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$992.001205013273 - GLEN BURNIE MD ENDOSCOPY ASC LLC, ENDOCENTRE AT QUARTERFIELD STATION261467098MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1421.001497949705 - IDAHO PHYSICAL MEDICINE AND REHABILITATION PA820435241 - (ID) IDAHO PHYSICAL MEDICINE & REHABILITATION, PAIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1120.001982788220 - CASCADE REGIONAL EYE CENTER INC PS, THE HARMAN EYE CLINIC ASC911719913 - SIGHT PARTNERS, LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$2119.001710940218 - DENVER MID-TOWN SURGERY CENTER LTD752548180 - DENVER MIDTOWN SURGERY CENTER LTDCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
11771$1650.001538722699 - R & R SURGICAL CENTERS820815470 - (CA) RR SURGICAL INSTITUTECAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 11771 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 11771 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 11771 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.

CodeComplexityDescription
11719-CPTLowTrimming Of Nondysrophic Nails, Any Number
11720-CPTLowDebridement Of Nail(S) By Any Method(S); One To Five
11765-CPTLowWedge Exc Skin Nail Fold (Ingrown)
11771-CPTModerateExc Pilonidal Cyst/Sinus Extensive

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11771. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 11771 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.

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