CPT code 11106: Skin biopsy, single incisional lesion2026 Medicare rate & RVUs in North Dakota
A clinician removes a full-thickness skin sample from one lesion by incision when tissue is needed for diagnostic pathologic examination.
In North Dakota, Medicare pays $148.93 for 11106 in the office and $44.05 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 11106 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 11106 covers
An incisional skin biopsy removes a portion of one lesion through the skin’s full thickness, typically using a blade to obtain tissue that may include epidermis, dermis, and subcutaneous tissue. Dermatologists, surgeons, and other clinicians may perform it in an office or outpatient setting when a representative sample is needed for pathology rather than removal of the entire lesion. The method distinguishes this service from a superficial tangential shave or a punch specimen.
Report 11106 for one lesion sampled by incision; document the site, the lesion sampled, and the technique. For another distinct lesion sampled by the same method, 11107 is the related add-on code. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this single-lesion service. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How North Dakota compares for 11106
Across 109 of 109 payment localities, the office rate for 11106 runs from $133.21 in Arkansas to $203.68 in San Benito County, CA. North Dakota pays $148.93. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$148.93
- Los Angeles, CA · California$172.27+$23.34
- Washington, DC area · District of Columbia$173.92+$24.99
- Miami, FL · Florida$162.13+$13.20
- Chicago, IL · Illinois$157.30+$8.37
- Manhattan, NY · New York$174.31+$25.38
- Alaska · Alaska$173.32+$24.39
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $135.25 | $43.48 |
| ArkansasArkansas | $133.21 | $43.12 |
| ArizonaArizona | $147.18 | $45.55 |
| Bakersfield, CACalifornia | $161.36 | $46.41 |
| Chico, CACalifornia | $161.00 | $46.05 |
| El Centro, CACalifornia | $161.02 | $46.07 |
| Fresno, CACalifornia | $161.00 | $46.05 |
| Hanford, CACalifornia | $161.00 | $46.05 |
| Madera, CACalifornia | $161.00 | $46.05 |
| Merced, CACalifornia | $161.00 | $46.05 |
| Modesto, CACalifornia | $161.00 | $46.05 |
| Napa, CACalifornia | $187.83 | $49.60 |
| Oxnard, CACalifornia | $171.56 | $47.60 |
| Redding, CACalifornia | $161.00 | $46.05 |
| Rest of CaliforniaCalifornia | $161.00 | $46.05 |
| Riverside, CACalifornia | $162.30 | $47.36 |
| Sacramento, CACalifornia | $169.30 | $47.32 |
| Salinas, CACalifornia | $168.68 | $47.12 |
| San Diego, CACalifornia | $172.91 | $47.47 |
| Marin County, CACalifornia | $199.22 | $51.34 |
| San Francisco, CACalifornia | $199.08 | $51.20 |
| San Benito County, CACalifornia | $203.68 | $52.45 |
| Santa Clara County, CACalifornia | $203.13 | $51.89 |
| San Luis Obispo, CACalifornia | $165.93 | $46.47 |
| Santa Cruz, CACalifornia | $174.77 | $47.34 |
| Santa Maria, CACalifornia | $169.38 | $47.09 |
| Santa Rosa, CACalifornia | $176.55 | $47.76 |
| Stockton, CACalifornia | $161.00 | $46.05 |
| Vallejo, CACalifornia | $187.63 | $49.40 |
| Visalia, CACalifornia | $161.00 | $46.05 |
| Yuba City, CACalifornia | $161.00 | $46.05 |
| ColoradoColorado | $158.15 | $46.56 |
| ConnecticutConnecticut | $161.62 | $48.67 |
| DelawareDelaware | $149.69 | $46.07 |
| Fort Lauderdale, FLFlorida | $156.03 | $49.79 |
| Rest of FloridaFlorida | $148.28 | $48.02 |
| Atlanta, GAGeorgia | $154.04 | $47.49 |
| Rest of GeorgiaGeorgia | $139.70 | $46.15 |
| Hawaii, Guam, HIHawaii | $165.31 | $46.07 |
| IowaIowa | $139.15 | $43.19 |
| IdahoIdaho | $140.03 | $43.54 |
| East St. Louis, ILIllinois | $146.21 | $49.72 |
| Rest of IllinoisIllinois | $143.60 | $47.84 |
| Suburban Chicago, ILIllinois | $157.72 | $50.01 |
| IndianaIndiana | $140.88 | $43.66 |
| KansasKansas | $138.32 | $43.51 |
| KentuckyKentucky | $138.25 | $45.01 |
| New Orleans, LALouisiana | $145.09 | $46.40 |
| Rest of LouisianaLouisiana | $137.96 | $45.14 |
| Metropolitan Boston, MAMassachusetts | $174.43 | $49.21 |
| Rest of MassachusettsMassachusetts | $157.09 | $46.65 |
| Baltimore area, MDMaryland | $161.14 | $48.61 |
| Rest of MarylandMaryland | $152.68 | $46.54 |
| Rest of MaineMaine | $140.63 | $44.14 |
| Southern Maine, MEMaine | $148.80 | $44.86 |
| Detroit, MIMichigan | $150.05 | $48.84 |
| Rest of MichiganMichigan | $141.86 | $46.10 |
| MinnesotaMinnesota | $151.81 | $43.89 |
| Metropolitan Kansas City, MOMissouri | $144.23 | $45.74 |
| Metropolitan St. Louis, MOMissouri | $145.81 | $45.97 |
| Rest of MissouriMissouri | $135.39 | $44.99 |
| MississippiMississippi | $134.34 | $44.03 |
| MontanaMontana | $151.30 | $46.42 |
| North CarolinaNorth Carolina | $142.18 | $44.33 |
| NebraskaNebraska | $139.99 | $43.19 |
| New HampshireNew Hampshire | $155.50 | $46.32 |
| Northern New JerseyNew Jersey | $171.97 | $50.31 |
| Rest of New JerseyNew Jersey | $163.54 | $49.02 |
| New MexicoNew Mexico | $142.60 | $46.43 |
| NevadaNevada | $150.75 | $45.77 |
| NYC suburbs and Long Island, NYNew York | $178.49 | $53.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $164.50 | $49.66 |
| Queens, NYNew York | $176.02 | $52.06 |
| Rest of New YorkNew York | $144.39 | $44.75 |
| OhioOhio | $141.37 | $45.62 |
| OklahomaOklahoma | $138.15 | $44.50 |
| Portland, OROregon | $163.52 | $47.00 |
| Rest of OregonOregon | $149.66 | $45.20 |
| Metropolitan Philadelphia, PAPennsylvania | $157.37 | $48.19 |
| Rest of PennsylvaniaPennsylvania | $141.69 | $45.41 |
| Puerto RicoPuerto Rico | $152.51 | $46.47 |
| Rhode IslandRhode Island | $155.28 | $46.94 |
| South CarolinaSouth Carolina | $142.00 | $45.09 |
| South DakotaSouth Dakota | $148.64 | $43.77 |
| TennesseeTennessee | $139.02 | $43.69 |
| Austin, TXTexas | $157.56 | $46.60 |
| Beaumont, TXTexas | $140.71 | $45.27 |
| Brazoria, TXTexas | $149.66 | $45.72 |
| Dallas, TXTexas | $150.57 | $46.11 |
| Fort Worth, TXTexas | $149.48 | $46.07 |
| Galveston, TXTexas | $150.08 | $45.93 |
| Houston, TXTexas | $152.27 | $48.13 |
| Rest of TexasTexas | $145.07 | $45.54 |
| UtahUtah | $144.02 | $45.44 |
| VirginiaVirginia | $148.18 | $45.08 |
| Virgin Islands, VIUnited States Virgin Islands | $152.51 | $46.47 |
| VermontVermont | $148.18 | $44.35 |
| Rest of WashingtonWashington | $156.85 | $46.41 |
| King County, WAWashington | $178.22 | $49.53 |
| WisconsinWisconsin | $143.72 | $43.25 |
| West VirginiaWest Virginia | $138.03 | $46.89 |
| WyomingWyoming | $150.26 | $45.39 |
11106 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$133.21
$182.34
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $173.32 | 1 |
| AL | $135.25 | 1 |
| AR | $133.21 | 1 |
| AZ | $147.18 | 1 |
| CA | $161.00–$203.68 | 29 |
| CO | $158.15 | 1 |
| CT | $161.62 | 1 |
| DC | $173.92 | 1 |
| DE | $149.69 | 1 |
| FL | $148.28–$162.13 | 3 |
| GA | $139.70–$154.04 | 2 |
| GU | $165.31 | 1 |
| HI | $165.31 | 1 |
| IA | $139.15 | 1 |
| ID | $140.03 | 1 |
| IL | $143.60–$157.72 | 4 |
| IN | $140.88 | 1 |
| KS | $138.32 | 1 |
| KY | $138.25 | 1 |
| LA | $137.96–$145.09 | 2 |
| MA | $157.09–$174.43 | 2 |
| MD | $152.68–$173.92 | 3 |
| ME | $140.63–$148.80 | 2 |
| MI | $141.86–$150.05 | 2 |
| MN | $151.81 | 1 |
| MO | $135.39–$145.81 | 3 |
| MS | $134.34 | 1 |
| MT | $151.30 | 1 |
| NC | $142.18 | 1 |
| ND | $148.93 | 1 |
| NE | $139.99 | 1 |
| NH | $155.50 | 1 |
| NJ | $163.54–$171.97 | 2 |
| NM | $142.60 | 1 |
| NV | $150.75 | 1 |
| NY | $144.39–$178.49 | 5 |
| OH | $141.37 | 1 |
| OK | $138.15 | 1 |
| OR | $149.66–$163.52 | 2 |
| PA | $141.69–$157.37 | 2 |
| PR | $152.51 | 1 |
| RI | $155.28 | 1 |
| SC | $142.00 | 1 |
| SD | $148.64 | 1 |
| TN | $139.02 | 1 |
| TX | $140.71–$157.56 | 8 |
| UT | $144.02 | 1 |
| VA | $148.18–$173.92 | 2 |
| VI | $152.51 | 1 |
| VT | $148.18 | 1 |
| WA | $156.85–$178.22 | 2 |
| WI | $143.72 | 1 |
| WV | $138.03 | 1 |
| WY | $150.26 | 1 |
How the 11106 rate is calculated
Each of 11106’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11106
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense3.43
3.43 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
4.5300
Conversion factor
$33.4009
Medicare rate
$151.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,274
- Code
- 11106
- Physician work
- 0.98
- Practice expense
- 3.43
- Malpractice
- 0.12
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 3.43 | × 1.000 | 3.4300 |
| Malpractice | 0.12 | × 0.406 | 0.0487 |
| Total RVUs | 4.4587 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$148.93
Office: (0.98 × 1 + 3.43 × 1 + 0.12 × 0.406) × $33.4009 = $148.93
Facility: (0.98 × 1 + 0.29 × 1 + 0.12 × 0.406) × $33.4009 = $44.05
Payment rules and modifiers for 11106
The CMS indicators that decide how 11106 is paid alongside other services.
CMS payment indicators · 11106
Skin biopsy, single incisional lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11106 without 51 · national office
$151.31
Skin biopsy, single incisional lesion
11106-51 · Second procedure: 50%
$75.66
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 11106 has changed in North Dakota
11106 · Office / nonfacility
$148.93
Effective 2026-10-01
The base rate is $2.49 higher than on 2025-10-01, moving from $146.44 to $148.93 (1.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$146.44changed to$148.93
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.01 changed to 0.98
- Practice expense RVU 3.45 changed to 3.43
- Malpractice RVU 0.13 changed to 0.12
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$153.36changed to$146.44
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.53 changed to 3.45
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$150.86changed to$153.36
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$156.45changed to$150.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.55 changed to 3.53
- Malpractice RVU 0.12 changed to 0.13
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$160.14changed to$156.45
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.57 changed to 3.55
- Malpractice RVU 0.11 changed to 0.12
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$160.77changed to$160.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.55 changed to 3.57
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$154.23changed to$160.77
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.22 changed to 3.55
- Malpractice RVU 0.09 changed to 0.11
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$151.21changed to$154.23
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.11 changed to 3.22
- Malpractice RVU 0.14 changed to 0.09
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$151.21
Held through RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $148.93 | $44.05 | RVU26D |
| 2026-07-01 | $148.93 | $44.05 | RVU26C |
| 2026-04-01 | $148.93 | $44.05 | RVU26B |
| 2026-01-01 | $148.93 | $44.05 | RVU26A |
| 2025-10-01 | $146.44 | $52.63 | RVU25D |
| 2025-07-01 | $146.44 | $52.63 | RVU25C |
| 2025-04-01 | $146.44 | $52.63 | RVU25B |
| 2025-01-01 | $146.44 | $52.63 | RVU25A |
| 2024-10-01 | $153.36 | $53.83 | RVU24D |
| 2024-07-01 | $153.36 | $53.83 | RVU24C |
| 2024-04-01 | $153.36 | $53.83 | RVU24B |
| 2024-03-09 | $153.36 | $53.83 | RVU24AR |
| 2024-01-01 | $150.86 | $52.95 | RVU24A |
| 2023-10-01 | $156.45 | $54.45 | RVU23D |
| 2023-07-01 | $156.45 | $54.45 | RVU23C |
| 2023-04-01 | $156.45 | $54.45 | RVU23B |
| 2023-01-01 | $156.45 | $54.45 | RVU23A |
| 2022-10-01 | $160.14 | $55.28 | RVU22D |
| 2022-07-01 | $160.14 | $55.28 | RVU22C |
| 2022-04-01 | $160.14 | $55.28 | RVU22B |
| 2022-01-01 | $160.14 | $55.28 | RVU22A |
| 2021-10-01 | $160.77 | $56.44 | RVU21D |
| 2021-07-01 | $160.77 | $56.44 | RVU21C |
| 2021-04-01 | $160.77 | $56.44 | RVU21B |
| 2021-01-01 | $160.77 | $56.44 | RVU21A |
| 2020-10-01 | $154.23 | $59.32 | RVU20D |
| 2020-07-01 | $154.23 | $59.32 | RVU20C |
| 2020-04-01 | $154.23 | $59.32 | RVU20B |
| 2020-01-01 | $154.23 | $59.32 | RVU20A |
| 2019-10-01 | $151.21 | $60.39 | RVU19D |
| 2019-07-01 | $151.21 | $60.39 | RVU19C |
| 2019-04-01 | $151.21 | $60.39 | RVU19B |
| 2019-01-01 | $151.21 | $60.39 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
11106 billing questions
How is 11106 different from a punch biopsy?
11106 represents tissue taken by incision, typically with a blade. Use 11104 when the clinician obtains the specimen with a punch instrument.
When is 11102 more appropriate?
11102 is for tangential, superficial sampling of a skin lesion. Choose 11106 when the clinician takes an incisional, full-thickness sample.
Can 11106 be reported for more than one lesion?
11106 represents one lesion. For each additional distinct lesion sampled by incision, report the related add-on code 11107.
Should modifier 50 be appended for lesions on both sides of the body?
No. Modifier 50 is inappropriate for 11106; report the service based on the individual lesion sampled.
What documentation supports reporting 11106?
Document the lesion’s site, that tissue was obtained by incision, and the clinical reason for sampling. Identify distinct lesions when reporting an additional-lesion service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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