# CPT 11055: Paring/cutting Benign Hyperkeratotic Lesion 1

Medicare CPT 11055 pays $70.14 in a non-facility setting and $13.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $61.51 in Arkansas to $81.15 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/11055-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $70.14 |
| National facility | $13.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $81.15 | $14.66 |
| California | $80.68 | $13.89 |
| Alaska | $79.13 | $19.01 |
| Washington | $78.38 | $14.03 |
| New Jersey | $78.09 | $14.53 |
| New York | $77.72 | $14.75 |
| Hawaii | $77.64 | $13.46 |
| Massachusetts | $77.44 | $14.03 |
| Connecticut | $75.03 | $14.23 |
| Colorado | $73.76 | $13.70 |
| Oregon | $73.05 | $13.58 |
| Maryland | $72.83 | $13.98 |
| New Hampshire | $72.39 | $13.62 |
| Rhode Island | $72.16 | $13.85 |
| Florida | $71.28 | $14.65 |
| Minnesota | $71.11 | $13.03 |
| Puerto Rico | $70.76 | $13.69 |
| Virgin Islands | $70.76 | $13.69 |
| Montana | $70.14 | $13.69 |
| Nevada | $70.03 | $13.53 |
| Wyoming | $69.88 | $13.43 |
| North Dakota | $69.55 | $13.10 |
| South Dakota | $69.48 | $13.03 |
| Delaware | $69.40 | $13.63 |
| Texas | $69.24 | $13.66 |
| Illinois | $69.15 | $14.60 |
| Pennsylvania | $69.13 | $13.84 |
| Vermont | $69.07 | $13.19 |
| Virginia | $68.86 | $13.38 |
| Arizona | $68.21 | $13.51 |
| Georgia | $67.69 | $13.85 |
| Maine | $67.19 | $13.26 |
| Michigan | $67.03 | $14.02 |
| Wisconsin | $67.02 | $12.94 |
| Utah | $66.57 | $13.51 |
| North Carolina | $65.91 | $13.24 |
| South Carolina | $65.60 | $13.44 |
| New Mexico | $65.55 | $13.78 |
| Indiana | $65.41 | $13.08 |
| Missouri | $65.37 | $13.57 |
| Louisiana | $65.16 | $13.63 |
| Ohio | $65.12 | $13.59 |
| Nebraska | $65.07 | $12.97 |
| Idaho | $64.99 | $13.06 |
| Iowa | $64.63 | $12.98 |
| Tennessee | $64.42 | $13.11 |
| Kansas | $64.10 | $13.07 |
| Oklahoma | $63.74 | $13.33 |
| Kentucky | $63.64 | $13.46 |
| West Virginia | $63.00 | $13.95 |
| Alabama | $62.48 | $13.09 |
| Mississippi | $61.85 | $13.25 |
| Arkansas | $61.51 | $13.02 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule
- 11604: Excision Mal Lesion Trunk/arm/leg 3.1-4.0 Cm — https://www.med-reveal.com/rates/11604-cpt-fee-schedule

Commercial negotiated rates for 11055 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules