CPT17000

Destruction of Skin Lesion Cost in Connecticut

Destruct premalg lesion

$253Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Connecticut Medicare physician rate (2026)

+6.4% vs national

Single statewide locality.

Connecticut (Hospital)
$50.58
Facility physician fee
Private plan est.
$92–$141
~130–200% of Medicare
Cash / self-pay est.
$57–$106
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$48
Only 19% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Connecticut

Look up your ZIP code for local detail across Connecticut, including the New Haven and Hartford areas, Fairfield County and Stamford, and the quieter eastern and northwestern corners.

What destruction of skin lesion costs at hospitals near you

Everything above is a national average. The hospital you pick in Connecticut moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Connecticut the office and hospital physician lines for this CPT differ by $20.15.

National vs Connecticut

National office$66.47
National hospital (physician)$47.76
Connecticut vs national6% above the national office rate of $66.47

Where Connecticut ranks for this CPT

Rank (lowest physician fee first)#44 of 51
Lowest stateArkansas ($59.19)
Highest stateAlaska ($78.33)

Destruction of Skin Lesion and how Connecticut is priced

Despite sitting between two of the priciest metros in America, Connecticut is priced as one statewide Medicare locality, with geographic indices well above the national average. Every town from Stamford to Storrs shares the same adjustments, which are pushed up by the state's high wages, rents, and insurance costs. The uniform locality means Fairfield County's proximity to New York does not add a further Medicare premium beyond the statewide level. In practice Connecticut's Medicare-approved amounts rank among the higher states outside the biggest coastal cities.

Connecticut's hospital market has consolidated around a few large systems, and a major academic medical center in New Haven draws complex cases from across the state. Residents of Fairfield County routinely cross into New York for care, while some in the north lean toward Springfield or Boston providers. High commercial prices in the state make Medicare rates and transparent cash pricing especially useful comparison points here.

This procedure: This is the destruction, most often by liquid nitrogen freezing, of a single precancerous skin lesion such as an actinic keratosis, the rough scaly patch caused by years of sun exposure. The dermatologist sprays or dabs the lesion for a few seconds; it stings briefly, blisters or crusts over a few days, and then peels away. No anesthesia or downtime is needed, and the whole treatment adds only moments to a skin exam.

What Is Destruction of Skin Lesion?

This is the destruction, most often by liquid nitrogen freezing, of a single precancerous skin lesion such as an actinic keratosis, the rough scaly patch caused by years of sun exposure. The dermatologist sprays or dabs the lesion for a few seconds; it stings briefly, blisters or crusts over a few days, and then peels away. No anesthesia or downtime is needed, and the whole treatment adds only moments to a skin exam.

What Affects the Cost

  • The code covers only the first lesion; every additional lesion frozen at the same visit is billed under add-on code 17003, and 15 or more lesions switch to code 17004.
  • Many patients need re-treatment at future visits because actinic keratoses recur, so annual cost is a multiple of one session.
  • An office visit charge is often billed alongside the freezing when the clinician also performs a skin exam or addresses other concerns.
  • Alternative treatments for widespread lesions, such as prescription field creams or photodynamic therapy, carry very different price tags worth comparing.
  • Freezing a benign spot like a plain seborrheic keratosis for appearance reasons is usually coded differently and may not be covered at all.

Questions to Ask Before Booking

  • 1.How many lesions will you treat today, and what is the charge for each additional one?
  • 2.Are any of the spots you plan to freeze considered cosmetic rather than precancerous?
  • 3.Will today also be billed as an office visit on top of the freezing?
  • 4.If I have many lesions, would a prescription cream or field treatment be more cost-effective than repeated freezing?
  • 5.How often should I expect to come back for re-treatment, and what does a typical year of visits cost?

Destruction of Skin Lesion in Connecticut: questions

Connecticut is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 17000 is $70.73 in an office and $50.58 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Connecticut uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $14 for the office physician line or $10 for the hospital physician line in Connecticut. Medigap may cover that 20%. This is not the hospital facility fee.

No. $70.73 is only the physician's share. Adding Medicare's facility payment brings the total to about $253 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Connecticut ranks #44 of 51 states on the physician line (6% above the national office rate of $66.47).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.