# CPT 11960: Insertion of tissue expander, single

Medicare CPT 11960 pays $948.25 in a non-facility setting and $948.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $844.54 in Arkansas to $1,138.62 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/11960-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $948.25 |
| National facility | $948.25 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,138.62 | $1,138.62 |
| District of Columbia | $1,066.35 | $1,066.35 |
| New York | $1,048.50 | $1,048.50 |
| New Jersey | $1,036.98 | $1,036.98 |
| California | $1,024.50 | $1,024.50 |
| Washington | $1,017.21 | $1,017.21 |
| Florida | $1,012.55 | $1,012.55 |
| Massachusetts | $1,011.31 | $1,011.31 |
| Connecticut | $1,008.74 | $1,008.74 |
| Illinois | $992.66 | $992.66 |
| Hawaii | $990.01 | $990.01 |
| Maryland | $979.84 | $979.84 |
| Colorado | $970.77 | $970.77 |
| Rhode Island | $964.98 | $964.98 |
| New Hampshire | $960.81 | $960.81 |
| Oregon | $960.14 | $960.14 |
| Puerto Rico | $952.85 | $952.85 |
| Virgin Islands | $952.85 | $952.85 |
| Montana | $948.12 | $948.12 |
| Pennsylvania | $945.77 | $945.77 |
| Michigan | $944.21 | $944.21 |
| Georgia | $938.44 | $938.44 |
| Texas | $937.73 | $937.73 |
| Nevada | $937.72 | $937.72 |
| Delaware | $937.35 | $937.35 |
| Wyoming | $931.06 | $931.06 |
| Arizona | $922.98 | $922.98 |
| Virginia | $920.17 | $920.17 |
| New Mexico | $919.38 | $919.38 |
| Minnesota | $916.43 | $916.43 |
| Utah | $911.02 | $911.02 |
| Vermont | $910.50 | $910.50 |
| West Virginia | $910.20 | $910.20 |
| North Dakota | $908.97 | $908.97 |
| Louisiana | $907.16 | $907.16 |
| Missouri | $905.39 | $905.39 |
| Ohio | $904.58 | $904.58 |
| South Dakota | $904.34 | $904.34 |
| Maine | $900.95 | $900.95 |
| South Carolina | $899.72 | $899.72 |
| North Carolina | $890.34 | $890.34 |
| Kentucky | $886.24 | $886.24 |
| Wisconsin | $881.15 | $881.15 |
| Oklahoma | $879.14 | $879.14 |
| Indiana | $877.17 | $877.17 |
| Idaho | $872.76 | $872.76 |
| Tennessee | $871.40 | $871.40 |
| Nebraska | $868.00 | $868.00 |
| Kansas | $866.68 | $866.68 |
| Iowa | $865.19 | $865.19 |
| Mississippi | $860.37 | $860.37 |
| Alabama | $856.05 | $856.05 |
| Arkansas | $844.54 | $844.54 |

## Related codes

- 10060: Incision and drainage of abscess, simple — https://www.med-reveal.com/rates/10060-cpt-fee-schedule
- 10061: Incision and drainage of abscess, complicated — https://www.med-reveal.com/rates/10061-cpt-fee-schedule
- 10120: Incision and removal of foreign body, subcutaneous, simple — https://www.med-reveal.com/rates/10120-cpt-fee-schedule
- 10121: Incision and removal of foreign body, subcutaneous, complicated — https://www.med-reveal.com/rates/10121-cpt-fee-schedule
- 11000: Debridement of extensive eczematous or infected skin, first 10% of body surface — https://www.med-reveal.com/rates/11000-cpt-fee-schedule
- 11042: Debridement, subcutaneous tissue, first 20 sq cm or less — https://www.med-reveal.com/rates/11042-cpt-fee-schedule
- 11043: Debridement, muscle and/or fascia, first 20 sq cm or less — https://www.med-reveal.com/rates/11043-cpt-fee-schedule
- 11044: Debridement, bone, first 20 sq cm or less — https://www.med-reveal.com/rates/11044-cpt-fee-schedule

Commercial negotiated rates for 11960 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