CPT 11406

Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L >4.0 Cm

CPT 11406 pays $333.67 in a non-facility setting and $227.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $295.43 in Arkansas to $394.21 in Alaska, a 33% spread.

National non-facility rate

$333.67

Office and other outpatient settings

Facility rate
$227.79

Hospital and ASC settings

Highest state
$394.21

Alaska

Lowest state
$295.43

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $333.67
CPT 11406 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $333.67, national facility $227.79.
StateRate compared visuallyNon-facilityFacility
Alaska
$394.21$281.45
District of Columbia
$377.47$252.75
New York
$369.65$251.53
New Jersey
$366.25$247.03
California
$364.24$238.95
Washington
$360.46$239.75
Massachusetts
$358.01$239.06
Connecticut
$355.68$241.65
Florida
$354.57$248.34
Hawaii
$351.76$231.38
Illinois
$346.88$244.57
Maryland
$345.22$234.84
Colorado
$343.02$230.37
Rhode Island
$340.07$230.69
Oregon
$339.26$227.71
New Hampshire
$339.11$228.89
Puerto Rico
$335.53$228.48
Virgin Islands
$335.53$228.48
Montana
$333.63$227.75
Pennsylvania
$332.13$228.42
Michigan
$330.32$230.90
Nevada
$330.30$224.32
Delaware
$329.72$225.11
Texas
$329.72$225.48
Georgia
$328.95$227.94
Wyoming
$328.12$222.24
Arizona
$324.47$221.87
Minnesota
$324.36$215.41
Virginia
$324.03$219.95
New Mexico
$321.56$224.47
Vermont
$321.14$216.32
North Dakota
$320.98$215.10
Utah
$319.63$220.10
South Dakota
$319.48$213.60
Louisiana
$317.48$220.81
Missouri
$317.06$219.90
West Virginia
$316.99$224.97
Maine
$316.89$215.72
Ohio
$316.64$219.97
South Carolina
$315.44$217.61
North Carolina
$312.71$213.92
Wisconsin
$310.58$209.14
Kentucky
$309.91$215.78
Indiana
$308.25$210.10
Oklahoma
$307.75$213.20
Idaho
$306.59$209.18
Tennessee
$305.78$209.54
Nebraska
$305.15$207.43
Kansas
$304.09$208.37
Iowa
$303.98$207.10
Mississippi
$300.61$209.45
Alabama
$299.68$207.04
Arkansas
$295.43$204.48

Billed by 1 specialties

Commercial rates for 11406

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates