CPT code 11730: Nail avulsion, single nail plate2026 Medicare rate & RVUs in Montana
Reports simple partial or complete removal of one nail plate, such as for a painful ingrown nail or a damaged, detached nail.
In Montana, Medicare pays $111.55 for 11730 in the office and $48.76 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 11730 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 11730 covers
This service removes part or all of one nail plate by simple avulsion, without excising the nail matrix. Common situations include a painful ingrown nail, a detached or damaged nail, or removal needed to address local nail pathology. Podiatrists, dermatologists, and other clinicians who perform minor procedures commonly provide it in an office or outpatient setting.
Report one unit for the first nail treated; use 11732 for each additional nail plate avulsed in the same session. Document the affected digit, the reason for removal, and whether the removal was partial or complete. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, 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 Montana compares for 11730
Across 109 of 109 payment localities, the office rate for 11730 runs from $99.71 in Arkansas to $147.14 in San Benito County, CA. Montana pays $111.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$111.55
- Los Angeles, CA · California$125.75+$14.20
- Washington, DC area · District of Columbia$127.02+$15.47
- Miami, FL · Florida$118.71+$7.16
- Chicago, IL · Illinois$115.63+$4.08
- Manhattan, NY · New York$127.43+$15.88
- Alaska · Alaska$132.26+$20.71
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $101.05 | $46.10 |
| ArkansasArkansas | $99.71 | $45.77 |
| ArizonaArizona | $108.85 | $48.01 |
| Bakersfield, CACalifornia | $118.34 | $49.52 |
| Chico, CACalifornia | $118.08 | $49.26 |
| El Centro, CACalifornia | $118.09 | $49.27 |
| Fresno, CACalifornia | $118.08 | $49.26 |
| Hanford, CACalifornia | $118.08 | $49.26 |
| Madera, CACalifornia | $118.08 | $49.26 |
| Merced, CACalifornia | $118.08 | $49.26 |
| Modesto, CACalifornia | $118.08 | $49.26 |
| Napa, CACalifornia | $136.18 | $53.42 |
| Oxnard, CACalifornia | $125.12 | $50.90 |
| Redding, CACalifornia | $118.08 | $49.26 |
| Rest of CaliforniaCalifornia | $118.08 | $49.26 |
| Riverside, CACalifornia | $118.96 | $50.14 |
| Sacramento, CACalifornia | $123.74 | $50.71 |
| Salinas, CACalifornia | $123.27 | $50.49 |
| San Diego, CACalifornia | $126.02 | $50.92 |
| Marin County, CACalifornia | $144.03 | $55.49 |
| San Francisco, CACalifornia | $143.93 | $55.40 |
| San Benito County, CACalifornia | $147.14 | $56.59 |
| Santa Clara County, CACalifornia | $146.76 | $56.22 |
| San Luis Obispo, CACalifornia | $121.30 | $49.78 |
| Santa Cruz, CACalifornia | $127.12 | $50.83 |
| Santa Maria, CACalifornia | $123.69 | $50.48 |
| Santa Rosa, CACalifornia | $128.40 | $51.29 |
| Stockton, CACalifornia | $118.08 | $49.26 |
| Vallejo, CACalifornia | $136.05 | $53.29 |
| Visalia, CACalifornia | $118.08 | $49.26 |
| Yuba City, CACalifornia | $118.08 | $49.26 |
| ColoradoColorado | $116.17 | $49.36 |
| ConnecticutConnecticut | $118.56 | $50.93 |
| DelawareDelaware | $110.56 | $48.52 |
| Fort Lauderdale, FLFlorida | $114.69 | $51.08 |
| Rest of FloridaFlorida | $109.61 | $49.58 |
| Atlanta, GAGeorgia | $113.40 | $49.60 |
| Rest of GeorgiaGeorgia | $103.99 | $47.98 |
| Hawaii, Guam, HIHawaii | $120.68 | $49.29 |
| IowaIowa | $103.59 | $46.13 |
| IdahoIdaho | $104.17 | $46.40 |
| East St. Louis, ILIllinois | $108.28 | $50.51 |
| Rest of IllinoisIllinois | $106.55 | $49.22 |
| Suburban Chicago, ILIllinois | $115.88 | $51.39 |
| IndianaIndiana | $104.72 | $46.51 |
| KansasKansas | $103.05 | $46.29 |
| KentuckyKentucky | $103.03 | $47.20 |
| New Orleans, LALouisiana | $107.51 | $48.42 |
| Rest of LouisianaLouisiana | $102.84 | $47.27 |
| Metropolitan Boston, MAMassachusetts | $127.18 | $52.20 |
| Rest of MassachusettsMassachusetts | $115.53 | $49.41 |
| Baltimore area, MDMaryland | $118.20 | $50.82 |
| Rest of MarylandMaryland | $112.58 | $49.03 |
| Rest of MaineMaine | $104.56 | $46.79 |
| Southern Maine, MEMaine | $109.90 | $47.67 |
| Detroit, MIMichigan | $110.77 | $50.18 |
| Rest of MichiganMichigan | $105.39 | $48.06 |
| MinnesotaMinnesota | $111.85 | $47.23 |
| Metropolitan Kansas City, MOMissouri | $106.93 | $47.97 |
| Metropolitan St. Louis, MOMissouri | $107.97 | $48.19 |
| Rest of MissouriMissouri | $101.16 | $47.04 |
| MississippiMississippi | $100.46 | $46.40 |
| North CarolinaNorth Carolina | $105.58 | $47.00 |
| North DakotaNorth Dakota | $109.97 | $47.18 |
| NebraskaNebraska | $104.14 | $46.18 |
| New HampshireNew Hampshire | $114.29 | $48.92 |
| Northern New JerseyNew Jersey | $125.86 | $53.02 |
| Rest of New JerseyNew Jersey | $120.06 | $51.49 |
| New MexicoNew Mexico | $105.89 | $48.30 |
| NevadaNevada | $111.19 | $48.33 |
| NYC suburbs and Long Island, NYNew York | $130.17 | $55.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $120.76 | $52.00 |
| Queens, NYNew York | $128.54 | $54.32 |
| Rest of New YorkNew York | $107.02 | $47.37 |
| OhioOhio | $105.07 | $47.74 |
| OklahomaOklahoma | $102.96 | $46.88 |
| Portland, OROregon | $119.72 | $49.96 |
| Rest of OregonOregon | $110.47 | $47.92 |
| Metropolitan Philadelphia, PAPennsylvania | $115.76 | $50.39 |
| Rest of PennsylvaniaPennsylvania | $105.28 | $47.63 |
| Puerto RicoPuerto Rico | $112.34 | $48.86 |
| Rhode IslandRhode Island | $114.39 | $49.52 |
| South CarolinaSouth Carolina | $105.47 | $47.45 |
| South DakotaSouth Dakota | $109.78 | $46.99 |
| TennesseeTennessee | $103.51 | $46.43 |
| Austin, TXTexas | $115.66 | $49.23 |
| Beaumont, TXTexas | $104.64 | $47.49 |
| Brazoria, TXTexas | $110.57 | $48.34 |
| Dallas, TXTexas | $111.19 | $48.64 |
| Fort Worth, TXTexas | $110.47 | $48.56 |
| Galveston, TXTexas | $110.85 | $48.49 |
| Houston, TXTexas | $112.31 | $49.96 |
| Rest of TexasTexas | $107.48 | $47.89 |
| UtahUtah | $106.80 | $47.77 |
| VirginiaVirginia | $109.50 | $47.78 |
| Virgin Islands, VIUnited States Virgin Islands | $112.34 | $48.86 |
| VermontVermont | $109.49 | $47.33 |
| Rest of WashingtonWashington | $115.33 | $49.21 |
| King County, WAWashington | $129.76 | $52.71 |
| WisconsinWisconsin | $106.57 | $46.41 |
| West VirginiaWest Virginia | $102.91 | $48.34 |
| WyomingWyoming | $110.86 | $48.07 |
11730 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.
$99.71
$132.61
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 | $132.26 | 1 |
| AL | $101.05 | 1 |
| AR | $99.71 | 1 |
| AZ | $108.85 | 1 |
| CA | $118.08–$147.14 | 29 |
| CO | $116.17 | 1 |
| CT | $118.56 | 1 |
| DC | $127.02 | 1 |
| DE | $110.56 | 1 |
| FL | $109.61–$118.71 | 3 |
| GA | $103.99–$113.40 | 2 |
| GU | $120.68 | 1 |
| HI | $120.68 | 1 |
| IA | $103.59 | 1 |
| ID | $104.17 | 1 |
| IL | $106.55–$115.88 | 4 |
| IN | $104.72 | 1 |
| KS | $103.05 | 1 |
| KY | $103.03 | 1 |
| LA | $102.84–$107.51 | 2 |
| MA | $115.53–$127.18 | 2 |
| MD | $112.58–$127.02 | 3 |
| ME | $104.56–$109.90 | 2 |
| MI | $105.39–$110.77 | 2 |
| MN | $111.85 | 1 |
| MO | $101.16–$107.97 | 3 |
| MS | $100.46 | 1 |
| MT | $111.55 | 1 |
| NC | $105.58 | 1 |
| ND | $109.97 | 1 |
| NE | $104.14 | 1 |
| NH | $114.29 | 1 |
| NJ | $120.06–$125.86 | 2 |
| NM | $105.89 | 1 |
| NV | $111.19 | 1 |
| NY | $107.02–$130.17 | 5 |
| OH | $105.07 | 1 |
| OK | $102.96 | 1 |
| OR | $110.47–$119.72 | 2 |
| PA | $105.28–$115.76 | 2 |
| PR | $112.34 | 1 |
| RI | $114.39 | 1 |
| SC | $105.47 | 1 |
| SD | $109.78 | 1 |
| TN | $103.51 | 1 |
| TX | $104.64–$115.66 | 8 |
| UT | $106.80 | 1 |
| VA | $109.50–$127.02 | 2 |
| VI | $112.34 | 1 |
| VT | $109.49 | 1 |
| WA | $115.33–$129.76 | 2 |
| WI | $106.57 | 1 |
| WV | $102.91 | 1 |
| WY | $110.86 | 1 |
How the 11730 rate is calculated
Each of 11730’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 · 11730
RVUs × geographic indexes × conversion factor
Work1.02
1.02 RVUs× 1.000 GPCI
Practice expense2.24
2.24 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
3.3400
Conversion factor
$33.4009
Medicare rate
$111.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,363
- Code
- 11730
- Physician work
- 1.02
- Practice expense
- 2.24
- Malpractice
- 0.08
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.02 | × 1.000 | 1.0200 |
| Practice expense | 2.24 | × 1.000 | 2.2400 |
| Malpractice | 0.08 | × 0.998 | 0.0798 |
| Total RVUs | 3.3398 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$111.55
Office: (1.02 × 1 + 2.24 × 1 + 0.08 × 0.998) × $33.4009 = $111.55
Facility: (1.02 × 1 + 0.36 × 1 + 0.08 × 0.998) × $33.4009 = $48.76
Payment rules and modifiers for 11730
The CMS indicators that decide how 11730 is paid alongside other services.
CMS payment indicators · 11730
Nail avulsion, single nail plate
| 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
11730 without 51 · national office
$111.56
Nail avulsion, single nail plate
11730-51 · Second procedure: 50%
$55.78
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 11730 has changed in Montana
11730 · Office / nonfacility
$111.55
Effective 2026-10-01
The base rate is $0.98 higher than on 2025-10-01, moving from $110.57 to $111.55 (0.9%).
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
$110.57changed to$111.55
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.05 changed to 1.02
- Practice expense RVU 2.29 changed to 2.24
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$115.11changed to$110.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.32 changed to 2.29
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$113.23changed to$115.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$116.84changed to$113.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.30 changed to 2.32
- Malpractice RVU 0.10 changed to 0.09
January 1, 2023
RVU23A
$118.63changed to$116.84
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.29 changed to 2.30
- Malpractice RVU 0.09 changed to 0.10
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$119.61changed to$118.63
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$114.31changed to$119.61
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.00 changed to 2.29
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$113.18changed to$114.31
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.96 changed to 2.00
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$110.18changed to$113.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.88 changed to 1.96
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$107.82changed to$110.18
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.84 changed to 1.88
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$100.90changed to$107.82
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 1.10 changed to 1.05
- Practice expense RVU 1.62 changed to 1.84
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$100.82changed to$100.90
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$100.32changed to$100.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$100.06changed to$100.32
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.60 changed to 1.62
- Malpractice RVU 0.08 changed to 0.07
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$99.97changed to$100.06
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.75 changed to 1.60
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $99.97
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $111.55 | $48.76 | RVU26D |
| 2026-07-01 | $111.55 | $48.76 | RVU26C |
| 2026-04-01 | $111.55 | $48.76 | RVU26B |
| 2026-01-01 | $111.55 | $48.76 | RVU26A |
| 2025-10-01 | $110.57 | $52.02 | RVU25D |
| 2025-07-01 | $110.57 | $52.02 | RVU25C |
| 2025-04-01 | $110.57 | $52.02 | RVU25B |
| 2025-01-01 | $110.57 | $52.02 | RVU25A |
| 2024-10-01 | $115.11 | $53.19 | RVU24D |
| 2024-07-01 | $115.11 | $53.19 | RVU24C |
| 2024-04-01 | $115.11 | $53.19 | RVU24B |
| 2024-03-09 | $115.11 | $53.19 | RVU24AR |
| 2024-01-01 | $113.23 | $52.33 | RVU24A |
| 2023-10-01 | $116.84 | $53.81 | RVU23D |
| 2023-07-01 | $116.84 | $53.81 | RVU23C |
| 2023-04-01 | $116.84 | $53.81 | RVU23B |
| 2023-01-01 | $116.84 | $53.81 | RVU23A |
| 2022-10-01 | $118.63 | $54.26 | RVU22D |
| 2022-07-01 | $118.63 | $54.26 | RVU22C |
| 2022-04-01 | $118.63 | $54.26 | RVU22B |
| 2022-01-01 | $118.63 | $54.26 | RVU22A |
| 2021-10-01 | $119.61 | $54.71 | RVU21D |
| 2021-07-01 | $119.61 | $54.71 | RVU21C |
| 2021-04-01 | $119.61 | $54.71 | RVU21B |
| 2021-01-01 | $119.61 | $54.71 | RVU21A |
| 2020-10-01 | $114.31 | $57.65 | RVU20D |
| 2020-07-01 | $114.31 | $57.65 | RVU20C |
| 2020-04-01 | $114.31 | $57.65 | RVU20B |
| 2020-01-01 | $114.31 | $57.65 | RVU20A |
| 2019-10-01 | $113.18 | $58.76 | RVU19D |
| 2019-07-01 | $113.18 | $58.76 | RVU19C |
| 2019-04-01 | $113.18 | $58.76 | RVU19B |
| 2019-01-01 | $113.18 | $58.76 | RVU19A |
| 2018-10-01 | $110.18 | $59.06 | RVU18D |
| 2018-07-01 | $110.18 | $59.06 | RVU18C |
| 2018-04-01 | $110.18 | $59.06 | RVU18B |
| 2018-01-01 | $110.18 | $59.06 | RVU18AR1 |
| 2017-10-01 | $107.82 | $58.29 | RVU17D |
| 2017-07-01 | $107.82 | $58.29 | RVU17C |
| 2017-04-01 | $107.82 | $58.29 | RVU17B |
| 2017-01-01 | $107.82 | $58.29 | RVU17A |
| 2016-10-01 | $100.90 | $52.92 | RVU16D |
| 2016-07-01 | $100.90 | $52.92 | RVU16C |
| 2016-04-01 | $100.90 | $52.92 | RVU16B |
| 2016-01-01 | $100.90 | $52.92 | RVU16A |
| 2015-10-01 | $100.82 | $52.31 | RVU15D |
| 2015-07-01 | $100.82 | $52.31 | RVU15C |
| 2015-04-01 | $100.32 | $52.05 | RVU15B |
| 2015-01-01 | $100.32 | $52.05 | RVU15A |
| 2014-10-01 | $100.06 | $52.77 | RVU14D |
| 2014-07-01 | $100.06 | $52.77 | RVU14C |
| 2014-04-01 | $100.06 | $52.77 | RVU14B |
| 2014-01-01 | $100.06 | $52.77 | RVU14A |
| 2013-10-01 | $99.97 | $50.29 | RVU13D |
| 2013-07-01 | $99.97 | $50.29 | RVU13C |
| 2013-04-01 | $99.97 | $50.29 | RVU13B |
| 2013-01-01 | $99.97 | $50.29 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
11730 billing questions
When should 11730 be used instead of 11750?
Use 11730 for simple removal of part or all of the nail plate without excising the nail matrix. 11750 describes excision involving the nail and matrix.
How is a second nail treated in the same session reported?
Report 11730 for the first nail and 11732 for each additional nail plate avulsed.
Can modifier 50 be used when nails on both feet are treated?
No. Modifier 50 is inappropriate for 11730; report the additional nail using 11732 when applicable.
Is nail trimming or debridement included in 11730?
The code reports nail plate avulsion, not routine trimming or debridement. Those services describe different work and should not be substituted for removal of the plate.
What documentation supports reporting 11730?
Record the digit and side, the clinical reason for removal, and whether the nail plate was removed partially or completely. The record should support that an avulsion was performed.
How does the multiple procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The 0-day global period includes same-day preoperative and postoperative care.
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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