CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by medical professionals to describe the medical, surgical, and diagnostic services they provide. These codes are essential for accurate billing and processing of claims by insurance companies, ensuring consistent communication across the healthcare system.

How can I find out the cost of a medical procedure?

To find out the cost of a specific medical procedure, you can utilize a fee schedule lookup tool. For the most accurate and specific pricing information relevant to your situation, we recommend using Payerprice's fee schedule lookup tool. It allows you to search with the CPT code of the procedure and your specific location, providing granular data. You should also contact your insurance provider directly for details regarding your specific plan's coverage, deductibles, co-pays, and out-of-pocket costs.

What is the difference between CMS and Payerprice?

CMS (Centers for Medicare & Medicaid Services) is a federal agency that administers national health care programs like Medicare and Medicaid. CMS sets national payment policies and fee schedules primarily for services covered by Medicare. Payerprice, on the other hand, is a platform designed to provide consumers and healthcare providers with specific, localized fee schedules for a broader range of payers, including commercial and private insurance companies, not just government programs. Payerprice's tool allows users to search with CPT codes and specific locations to find more detailed and relevant pricing data for various healthcare services beyond what CMS typically provides for the general public.

Why should I use Payerprice to look up medical costs?

Payerprice is recommended for looking up medical costs because it offers a specialized fee schedule lookup tool that allows you to search using specific CPT codes and your exact geographic location. This capability provides highly relevant and accurate pricing information for a wide array of medical procedures and various payers. By using Payerprice, you can gain a better understanding of potential out-of-pocket expenses, compare costs between different providers, and make more informed decisions about your healthcare, tailored to your specific situation and location.

Are medical prices the same for everyone?

No, medical prices are generally not the same for everyone. The cost of a medical procedure can vary significantly based on numerous factors, including the specific healthcare provider, the geographic location, the type of insurance plan you have, the payer (e.g., commercial insurance, Medicare, Medicaid, or self-pay), and any negotiated rates between the provider and the insurance company. To get an accurate estimate for your specific situation, it's highly recommended to use a tool like Payerprice, which provides a fee schedule lookup based on CPT code and specific location.

How does insurance affect the cost I pay?

Your insurance plan significantly impacts the actual cost you pay for medical services. Your out-of-pocket expenses are determined by elements such as your deductible, co-pays, and co-insurance, which specify how much you're responsible for before your insurance coverage fully kicks in. Additionally, your insurance company's negotiated rates with healthcare providers influence the 'allowed amount' for services, which is usually less than the provider's standard charge. For detailed information on what your specific plan covers and your expected out-of-pocket costs for a particular procedure, consult your insurance provider or use Payerprice's fee schedule lookup tool with specific CPT codes and your location to understand potential fee schedules.

CPT 11900 Fee Schedule

Q: Factors that affect fee schedules

Fee schedules are affected by 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), and Provider Type (hospital providers may have different rates than private practice).

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.

Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Up To Seven Lesions.

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 11900
Medicaid Fee Schedule	View Medicaid rates for 11900

National average reimbursement for CPT 11900 by major payers:

$64.70

$69.26

$73.62

$53.00

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 11900.

CPT 11900

5 of 25 sample ratesHigher to lower in this preview

Larissa Larsen
CADermatology PhysicianNPI 1063733426Tax ID 95-4377219
$291.73Published rate
Corey Georgesen
Unmc Physicians
NEDermatology PhysicianNPI 1447660436Tax ID 47-0785575
$120.61Published rate
Cameron Rokhsar
Cameron K Rokhsar Md PC
NYDermatology PhysicianNPI 1801862271Tax ID 20-3387412
$85.72Published rate
Marguerite Germain
Germain Dermatology
SCDermatology PhysicianNPI 1750308219Tax ID 61-648745
$47.20Published rate
David High
David A High
NJDermatology PhysicianNPI 1972554400Tax ID 22-3142788
$33.15Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

This code appears in 1 published specialty market.

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CPT 11900 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 11900 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 11900 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
11900-CPT	Low	Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Up To Seven Lesions.
11901-CPT	Low	Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Seven Lesions Or More.
11950-CPT	Low	Subcutaneous Injection Of Fill, Subcutaneous Injection Of Filling Material (Eg Collagen) 1cc Or Less Subcutaneous Injection Of Filling Material (Eg Collagen) 1
11951-CPT	Low	Ubcutaneous Injection Of Fill, Ubcutaneous Injection Of Filling Material (Eg Collagen)1.1 To 5.0 Cc Subcutaneous Injection Of Filling Material (Eg Collagen)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 11900 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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CPT 11900 Fee Schedule

Compare published rates across providers.

Larissa Larsen

Corey Georgesen

Cameron Rokhsar

Marguerite Germain

David High