Dermatology reimbursement rates by service line
Compare payer-published dermatology benchmarks for office visits; biopsy; lesion treatment; mohs surgery; repair.
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
National 99213 rate distribution
Each marker shows the national median published rate across billing entities for that payer.
National 99213 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 22,668 | $68.78 | $78.20 | |||
| Cigna | Jun–Jul 2026 | 21,137 | $82.22 | $100.83 | |||
| United | Jun–Jul 2026 | 22,060 | $83.77 | $106.02 | |||
| Anthem | Jun–Jul 2026 | 17,773 | $97.42 | $119.32 |
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for established patient office visit, level 3 (99213).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific dermatology providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Dermatology provider benchmarks (CPT 99213)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| WINDSOR DERMATOLOGY, PCNPI 1053429720 · Tax ID 223548805 | NJ | 13 | $47.79 | -$21.00 | Below P25 |
| SCOTT D WARREN MD PANPI 1083774707 · Tax ID 593041106 | FL | 14 | $57.45 | -$11.33 | Below P25 |
| SICI MOHS CENTER PCNPI 1710952619 · Tax ID 933664413 | PA | 3 | $63.91 | -$4.87 | P25 to median |
| KUYKENDALL DERMATOLOGY PCNPI 1053450957 · Tax ID 264291930 | OK | 2 | $68.19 | -$0.59 | P25 to median |
| OUTER CAPE HEALTH SERVICES INCNPI 1417184144 · Tax ID 042509828 | MA | 183 | Median to P75 | ||
| VANDERBILT UNIVERSITY MEDICAL CENTERNPI 1023047792 · Tax ID 352528741 | TN | 6,744 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.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.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ 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 |
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.How to interpret these benchmarks
Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.
- Source and periodRates 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.
- Comparable ratesComparisons 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.
- CalculationRates 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.
- CoverageNational 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.
- Billing contextMatch 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.
Get the dermatology reimbursement data you're looking for
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We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
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Explore dermatology rates by state
Choose a state to compare payer reference averages for common services.
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.