The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 11311. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
48
Median % of Medicare
79%
Rate range
$32.38 - $215.18
11311 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $215.18 | 162.7% | -- | 2026 |
| Alabama | $65.00 | 49.1% | -- | 2026 |
| Arkansas | $101.18 | 76.5% | -- | 2026 |
| Arizona | $149.67 | 113.2% | -- | 2024 |
| California | $128.14 | 96.9% | -- | 2026 |
| Colorado | $111.68 | 84.4% | -- | 2026 |
| Connecticut | $85.00 | 64.3% | -- | 2026 |
| District of Columbia | $120.91 | 91.4% | Not required | 2026 |
| Delaware | $128.34 | 97% | -- | 2026 |
| Florida | $43.20 | 32.7% | -- | 2026 |
| Georgia | $68.50 | 51.8% | -- | 2026 |
| Hawaii | $63.34 | 47.9% | -- | 2025 |
| Iowa | $62.83 | 47.5% | -- | 2024 |
| Idaho | $106.19 | 80.3% | Not required | 2026 |
| Illinois | $41.25 | 31.2% | -- | 2024 |
| Indiana | $125.17 | 94.6% | -- | 2025 |
| Kansas | $80.52 | 60.9% | -- | 2024 |
| Kentucky | $55.55 | 42% | -- | 2026 |
| Louisiana | $106.50 | 80.5% | -- | 2026 |
| Massachusetts | $107.01 | 80.9% | -- | 2025 |
| Maine | $89.38 | 67.6% | -- | 2026 |
| Michigan | $32.38 | 24.5% | -- | 2026 |
| Minnesota | $101.89 | 77% | -- | 2026 |
| Missouri | $104.55 | 79% | Not required | 2022 |
| Mississippi | $152.36 | -- | -- | 2026 |
| Montana | $184.68 | 139.6% | -- | 2026 |
| North Carolina | $75.80 | 57.3% | -- | 2025 |
| North Dakota | $146.07 | 110.4% | Not required | 2026 |
| Nebraska | $133.38 | 100.8% | -- | 2026 |
| New Hampshire | $41.30 | 31.2% | Not required | 2026 |
| New Jersey | $76.41 | 57.8% | Not required | 2026 |
| New Mexico | $189.82 | 143.5% | -- | 2025 |
| Nevada | $78.49 | 59.3% | -- | 2024 |
| New York | $125.01 | 94.5% | -- | 2026 |
| Ohio | $71.12 | 53.8% | -- | 2024 |
| Oklahoma | $113.72 | 86% | -- | 2026 |
| Oregon | $106.96* | 80.9% | -- | 2026 |
| Pennsylvania | $38.00 | 28.7% | -- | 2023 |
| Rhode Island | $80.38 | -- | -- | 2026 |
| South Carolina | $89.20 | 67.4% | -- | 2024 |
| Texas | $109.86* | 83.1% | -- | 2023 |
| Utah | $99.16* | 75% | Not required | 2026 |
| Virginia | $114.58* | 86.6% | -- | 2026 |
| Vermont | $110.54 | 83.6% | -- | 2026 |
| Washington | $81.22 | 61.4% | -- | 2026 |
| Wisconsin | $106.18 | 80.3% | -- | 2018 |
| West Virginia | $88.57 | 67% | -- | 2026 |
| Wyoming | $117.51 | 88.8% | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related physician codes
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10080 - Drainage of a pilonidal cyst, simple
- 10081 - Drainage of a pilonidal cyst, complicated
- 10120 - Removal of a foreign body from tissue, simple
- 10121 - Removal of a foreign body from skin, complicated
- 10140 - Drainage of a blood or fluid collection under the skin
Frequently asked questions
How much does Medicaid pay for 11311?
48 state Medicaid programs publish a fee-for-service rate for 11311 (shave removal of a skin growth, face/ears/lips, 0.6-1.0 cm), ranging from $32.38 in Michigan to $215.18 in Alaska, with a median of 79% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 11311?
Alaska publishes the highest Medicaid rate for 11311 at $215.18 (162.7% of the national Medicare amount). Michigan publishes the lowest at $32.38.
Does 11311 require prior authorization under Medicaid?
No publishing state flags 11311 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.