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Dermatology reimbursement rates by service line

Compare national dermatology reimbursement benchmarks calculated from price transparency data. Reference benchmarks cover 11102, 17311 and 99213 across Aetna, Anthem, Cigna and United. Reporting periods: Jun–Jul 2026.

1,707,284 provider-rate observations4 payers in source data50 states represented20 billing codes
Rate data shownJun–Jul 2026About these rates
Dermatology
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Compare national dermatology rates by payer

Use the reference codes to compare payer benchmarks, then explore office visits; biopsy; lesion treatment; mohs surgery; repair. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.

Aetna state variation for 99213

LowerHigher
Alaska: $129.27 Aetna reference averageAKAlabama: $60.96 Aetna reference averageALArkansas: $70.42 Aetna reference averageARArizona: $57.10 Aetna reference averageAZCalifornia: $91.21 Aetna reference averageCAColorado: $80.21 Aetna reference averageCOConnecticut: $92.88 Aetna reference averageCTDistrict of Columbia: No preview availableDCDelaware: $74.62 Aetna reference averageDEFlorida: $61.35 Aetna reference averageFLGeorgia: $98.93 Aetna reference averageGAHawaii: $88.30 Aetna reference averageHIIowa: $74.45 Aetna reference averageIAIdaho: $95.14 Aetna reference averageIDIllinois: $77.90 Aetna reference averageILIndiana: $64.85 Aetna reference averageINKansas: $68.09 Aetna reference averageKSKentucky: $64.22 Aetna reference averageKYLouisiana: $70.05 Aetna reference averageLAMassachusetts: $105.74 Aetna reference averageMAMaryland: $67.62 Aetna reference averageMDMaine: $91.91 Aetna reference averageMEMichigan: $74.20 Aetna reference averageMIMinnesota: $62.03 Aetna reference averageMNMissouri: $64.08 Aetna reference averageMOMississippi: $64.60 Aetna reference averageMSMontana: $85.47 Aetna reference averageMTNorth Carolina: $86.77 Aetna reference averageNCNorth Dakota: $67.38 Aetna reference averageNDNebraska: $115.93 Aetna reference averageNENew Hampshire: $95.69 Aetna reference averageNHNew Jersey: $64.13 Aetna reference averageNJNew Mexico: $72.22 Aetna reference averageNMNevada: $79.90 Aetna reference averageNVNew York: $82.90 Aetna reference averageNYOhio: $79.51 Aetna reference averageOHOklahoma: $74.21 Aetna reference averageOKOregon: $119.01 Aetna reference averageORPennsylvania: $75.90 Aetna reference averagePARhode Island: $83.32 Aetna reference averageRISouth Carolina: $63.82 Aetna reference averageSCSouth Dakota: $96.35 Aetna reference averageSDTennessee: $88.05 Aetna reference averageTNTexas: $80.90 Aetna reference averageTXUtah: $66.73 Aetna reference averageUTVirginia: $68.50 Aetna reference averageVAVermont: $23.36 Aetna reference averageVTWashington: $110.20 Aetna reference averageWAWisconsin: $126.02 Aetna reference averageWIWest Virginia: $66.44 Aetna reference averageWVWyomingWY
National
Select a state to reveal payer percentiles and provider examples.

National 99213 rate distribution

Payer
Published rate$ per reported billing unit
$60$80$100$120$140
Median
AetnaJun–Jul 2026
AetnaProviders22,668Average$78.20
$68.78median
CignaJun–Jul 2026
CignaProviders21,137Average$100.83
$82.22median
UnitedJun–Jul 2026
UnitedProviders22,060Average$106.02
$83.77median
AnthemJun–Jul 2026
AnthemProviders17,773Average$119.32
$97.42median

Each marker shows the national median published rate across billing entities for that payer.

National 99213 rates by payer

$ per reported billing unit
PayerRate periodProvider entitiesP25MedianP75P90Average
AetnaJun–Jul 202622,668$68.78$78.20
CignaJun–Jul 202621,137$82.22$100.83
UnitedJun–Jul 202622,060$83.77$106.02
AnthemJun–Jul 202617,773$97.42$119.32
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National: Dermatology provider benchmarks (CPT 99213)

6 provider examples
Provider entityStateSize$ per serviceGap to medianPosition in Aetna range
WINDSOR DERMATOLOGY, PCNPI 1053429720 · Tax ID 223548805NJ13$47.79-$21.00
Below P25
SCOTT D WARREN MD PANPI 1083774707 · Tax ID 593041106FL14$57.45-$11.33
Below P25
SICI MOHS CENTER PCNPI 1710952619 · Tax ID 933664413PA3$63.91-$4.87
P25 to median
KUYKENDALL DERMATOLOGY PCNPI 1053450957 · Tax ID 264291930OK2$68.19-$0.59
P25 to median
OUTER CAPE HEALTH SERVICES INCNPI 1417184144 · Tax ID 042509828MA183
Median to P75
VANDERBILT UNIVERSITY MEDICAL CENTERNPI 1023047792 · Tax ID 352528741TN6,744
Above P75
Need provider rates for a specific state?

Which providers have the highest claim volume in the dermatology market?

Provider organizations with the highest combined 2024 Medicare and Medicaid claim volume in the dermatology market.

#StateProvider
MedicareMedicaidRanked by combined total
  1. 1VA
    Pariser Dermatology Specialists LtdNPI 1417047952
    Medicare 62,866Medicaid 41763,283 total
  2. 2VA
    Dermatology Associates Of Richmond PCNPI 1316952716
    Medicare 56,630Medicaid 4756,677 total
  3. 3CA
    California Dermatology Institute PCNPI 1235671389
    Medicare 54,407Medicaid 1,10355,510 total
  4. 4MULTI
    West Dermatology and Surgery Medical GroupNPI 1932154788
    Medicare 35,538Medicaid 6,72542,263 total
  5. 5MN
    Dermatology Consultants PANPI 1568567139
    Medicare 24,404Medicaid 34124,745 total
  6. 6AZ
    Omni Dermatology IncorporatedNPI 1003082090
    Medicare 2,459Medicaid 17,03619,495 total
  7. 7CA
    Csi Medical GroupNPI 1871909804
    Medicare 18,834Medicaid 53119,365 total
  8. 8MULTI
    Univ Of Penn Medical GroupNPI 1225426349
    Medicare 1,702Medicaid 16,75418,456 total
  9. 9PA
    Pennsylvania Dermatology Partners INCNPI 1023382918
    Medicare 630Medicaid 17,44918,079 total
  10. 10CO
    Vanguard Medical Specialists LLCNPI 1013538354
    Medicare 981Medicaid 14,89315,874 total
  11. 11TX
    Pdp Of Texas PLLCNPI 1629025739
    Medicare 14,734Medicaid 114,735 total
  12. 12IN
    University DermatologyNPI 1033159405
    Medicare 12,342Medicaid 65512,997 total
  13. 13CA
    Island Dermatology INCNPI 1508815556
    Medicare 11,301Medicaid 1,31612,617 total
  14. 14FL
    Leavitt Medical Associates of Florida INC.NPI 1528097284
    Medicare 12,492Medicaid 812,500 total
  15. 15KY
    Modern Dermatology Of KentuckyNPI 1699382507
    Medicare 11,517Medicaid 55012,067 total
  16. 16TN
    Chattanooga Skin Cancer ClinicNPI 1447343694
    Medicare 12,050Medicaid 012,050 total
  17. 17CA
    Advanced Dermatology & Skin CaNPI 1881023927
    Medicare 11,368Medicaid 43111,799 total
  18. 18MULTI
    Regents Of The University Of MichiganNPI 1528097128
    Medicare 10,167Medicaid 59910,766 total
  19. 19MI
    Kevin J Gaffney MD PCNPI 1699940619
    Medicare 10,533Medicaid 8610,619 total
  20. 20MI
    Paragon Health PCNPI 1902847098
    Medicare 10,178Medicaid 35410,532 total

Explore dermatology services

Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.

GeographyNational
Display
Service line / billing codeAetnaCignaUnitedAnthem
$ per reported billing unit · 5 codes
99213Established patient office visit, level 3
$78.20$100.83$106.02$119.32
99214Established patient office visit, level 4
$114.58$146.31$154.28$170.05
99203New patient office visit, level 3
$107.43$135.81$150.12$166.32
99204New patient office visit, level 4
$166.18$210.73$227.83$255.68
99212Established patient office visit, level 2
$46.39$59.49$65.04$71.88
$ per reported billing unit · 14 codes
17110Destruction (E.G. Laser Surge
$109.38$140.28$165.80$183.12
17311Mohs surgery, first stage, head, neck, hands, feet, or genitalia
$637.64$822.95$993.36$1,151.26
11102Tangential skin biopsy, single lesion
$82.75$112.49$149.62$165.37
17000Destruct Premalg Lesion
$74.98$94.03$100$120.91
12032Intermediate repair of wounds, 2.6 to 7.5 cm
$301.92$399.04$448.42$506.60
17312Mohs surgery, each additional stage
$366.31$479.89$596.04$681.99
17004Destroy Premal Lesions 15
$164.10$211.95$240.13$291.64
13132Repair Complex Forehead Che
$505.21$651.81$716.68$896.10
17313Mohs 1 Stage T A L
$579.88$754.94$929.77$1,065.88
13121Clean And Stitch Wound
$425.82$558.47$636.29$743.05
11900Injection Into Skin Growth
$52.10$67.05$82.60$89.35
96910Photochemothrapy; Tar & Ultravio B (Goeckerman Treatmn) Or Pet
$124.14$152.09$161.45$195.10
11103Tangential Biopsy Of Skin (Eg Shave Scoop Saucerize Curette)
$43.44$59.20$78.85$87.95
13101Clean And Stitch Wound
$395.06$522.65$592.01$688.53
$ per reported billing unit · 1 code
88305Surgical pathology, gross and microscopic examination
$86.86$78.31$78.03$149.96
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How to read these dermatology rates

Benchmarks calculated by PayerPrice from health plan price transparency files. CMS price transparency requirements.

  • Published rates, not paymentsThese figures summarize negotiated rates reported by health plans. They are not claim payments, patient prices or a provider's verified contract.
  • Average vs. medianThe average combines eligible billing-entity rates; the median is the middle rate. A large gap between them can signal that high or low rates are pulling the average.
  • What a provider row meansA billing entity may be a clinician, practice, facility or health system. A named row does not always represent one individual provider.
  • Compare like for likeMatch the code, billing component, setting, payment unit, network and reporting period. Facility, drug and other service payments may be separate.
Calculation details and specialty-specific notes

Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.

Rate source
Rates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed. National report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
Rate calculation
Rates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume. The calculation targets the lowest and highest 2% of entity rates for removal, rounded down to whole entities. Tied boundary values stay together, so fewer rates may be removed. A payer, code and geography cohort is published only when at least 10 billing entities remain after trimming. A missing benchmark does not mean the rate is zero.
Provider entity
Each NPI and TIN combination contributes one representative rate: its most frequent normalized value. When multiple values are equally frequent, those values are averaged.
Comparable rates
Comparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate. Match the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons. Benchmarks keep the payer, service code, geography, reporting period and billing unit separate. Different services or payment units are not blended into one rate.

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Explore dermatology rates by state

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View National Overview
Available stateNo public state averages

Questions about dermatology benchmarks

How to interpret the selected market and payer-published rates.

What does the national benchmark compare?

The headline uses Established patient office visit, level 3 (99213). The other reference codes and service lines provide separate comparisons rather than combining unlike services.

Why is a payer or state missing?

A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.

Will the reporting period change?

Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.