FDFairDoctor.org
Home/Procedures/Removal of Noncancer Skin Growth of Body
CPT 11404Medical Service

Removal of Noncancer Skin Growth of Body

Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm. Clinical pricing breakdown and utilization metrics across 67 practicing doctors nationwide.

$424.32
Peer Median Charge
Gross billed rate
$121.26
Standard Baseline
Customary allowable
3.5x
National Markup
Charge vs baseline
67
Active Physicians
Billing this code
Planning care or already received a bill for CPT 11404?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $424.32. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $121.26 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code 11404 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"