North Carolina · 17110

Destruction Of Skin Growth, 1-14 Growths in North Carolina

North Carolina Medicare Avg
$67.97
9% below national avg
National Medicare Avg
$74.80
All states combined
Billed Charge (NC)
$224.46
What providers submit
Est. Commercial (NC)
$210.32
National avg: $233.63
Est. Cash / Self-Pay (NC)
$134.08
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

108.0K
Services in NC
1.7K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in North Carolina

Provider Medicare Services
Mizelle, Christopher MD $59.54 1.4K
Stanley, Ronald M.D. $45.78 1.2K
Cogburn, Michael MD $73.15 863

North Carolina Pricing in Context

In North Carolina, CPT code 17110 (Destruction Of Skin Growth, 1-14 Growths) carries an average Medicare payment of $67.97 — 9% below the national benchmark of $74.80. 1.7K providers across the state submitted claims for this procedure in 2023, performing 108.0K total services. Individual payments in NC ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in North Carolina is $224.46, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because North Carolina sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in North Carolina lands near $210.32, with self-pay cash prices typically around $134.08. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Destruction Of Skin Growth, 1-14 Growths cost in North Carolina?

The average Medicare payment for Destruction Of Skin Growth, 1-14 Growths in North Carolina is $67.97, which is 9% below the national average of $74.80. Providers in NC typically bill $224.46 for this procedure.

What does Destruction Of Skin Growth, 1-14 Growths cost with insurance in North Carolina?

With commercial insurance in North Carolina, Destruction Of Skin Growth, 1-14 Growths costs an estimated $210.32. Without insurance, the estimated cash price is $134.08. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Destruction Of Skin Growth, 1-14 Growths in North Carolina?

1.7K providers in North Carolina billed Medicare for Destruction Of Skin Growth, 1-14 Growths in 2023, performing 108.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Destruction Of Skin Growth, 1-14 Growths cheaper in North Carolina than the national average?

Yes — Destruction Of Skin Growth, 1-14 Growths costs 9% below the national average in North Carolina. The state average Medicare payment is $67.97 compared to $74.80 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial