FDFairDoctor.org
Home/Procedures/Removal of Noncancer Skin Growth of Scalp
CPT 11423Medical Service

Removal of Noncancer Skin Growth of Scalp

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm. Clinical pricing breakdown and utilization metrics across 43 practicing doctors nationwide.

$347.80
Peer Median Charge
Gross billed rate
$139.32
Standard Baseline
Customary allowable
2.5x
National Markup
Charge vs baseline
43
Active Physicians
Billing this code
Planning care or already received a bill for CPT 11423?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 $347.80. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $139.32 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 11423 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"