Trimming of fingernails or toenails
Medicare pricing data for 5,886 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Trimming of fingernails or toenails (HCPCS code 11719) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.58, but hospitals typically charge $36.49 — a 3.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.58, your out-of-pocket cost would be approximately $2.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $7.74 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| North Dakota | $13 | $44 | 4 | 33 | +26.6% |
| District of Columbia | $13 | $46 | 6 | 95 | +22.1% |
| Hawaii | $12 | $42 | 4 | 1,285 | +17.3% |
| Nevada | $12 | $41 | 14 | 424 | +14.0% |
| Wyoming | $12 | $75 | 3 | 20 | +12.9% |
| California | $12 | $40 | 179 | 23,590 | +12.9% |
| Texas | $12 | $36 | 254 | 9,916 | +12.4% |
| Wisconsin | $12 | $56 | 107 | 5,338 | +11.8% |
| Georgia | $12 | $38 | 112 | 4,594 | +11.1% |
| Minnesota | $12 | $46 | 104 | 1,839 | +9.7% |
| Washington | $12 | $36 | 93 | 4,489 | +9.5% |
| Arkansas | $12 | $35 | 26 | 2,491 | +9.5% |
| Iowa | $12 | $35 | 59 | 3,658 | +9.3% |
| Oregon | $11 | $36 | 46 | 2,143 | +7.5% |
| Ohio | $11 | $30 | 286 | 16,860 | +6.1% |
| Idaho | $11 | $44 | 17 | 802 | +6.0% |
| Alabama | $11 | $39 | 43 | 1,689 | +5.9% |
| Maryland | $11 | $34 | 194 | 42,154 | +5.6% |
| New York | $11 | $35 | 673 | 71,660 | +3.9% |
| Arizona | $11 | $45 | 55 | 4,027 | +3.7% |
| Montana | $11 | $31 | 7 | 1,211 | +2.4% |
| Colorado | $11 | $42 | 73 | 1,082 | +2.2% |
| Delaware | $11 | $34 | 39 | 6,995 | +2.0% |
| Oklahoma | $11 | $42 | 62 | 2,887 | +1.9% |
| Nebraska | $11 | $43 | 29 | 791 | +1.8% |
| Maine | $11 | $41 | 24 | 667 | +1.5% |
| Kansas | $11 | $34 | 39 | 3,080 | +1.3% |
| New Jersey | $11 | $37 | 477 | 80,035 | +0.9% |
| Tennessee | $11 | $40 | 94 | 2,927 | +0.4% |
| Pennsylvania | $11 | $35 | 582 | 103,940 | +0.1% |
| Alaska | $10 | $33 | 8 | 303 | -1.0% |
| Michigan | $10 | $34 | 169 | 5,782 | -1.1% |
| Missouri | $10 | $36 | 118 | 11,500 | -1.2% |
| South Carolina | $10 | $40 | 110 | 5,777 | -2.3% |
| Virginia | $10 | $37 | 155 | 7,315 | -2.6% |
| Mississippi | $10 | $33 | 31 | 296 | -3.1% |
| New Hampshire | $10 | $48 | 32 | 1,850 | -3.3% |
| Rhode Island | $10 | $38 | 39 | 7,876 | -3.4% |
| Massachusetts | $10 | $47 | 242 | 30,266 | -5.6% |
| Louisiana | $10 | $37 | 69 | 1,952 | -5.9% |
| Florida | $10 | $32 | 286 | 24,597 | -7.0% |
| Kentucky | $10 | $28 | 109 | 4,086 | -7.4% |
| New Mexico | $10 | $23 | 25 | 795 | -8.3% |
| Indiana | $10 | $33 | 64 | 4,616 | -8.6% |
| West Virginia | $9 | $26 | 51 | 2,553 | -12.1% |
| Illinois | $9 | $38 | 283 | 22,003 | -15.6% |
| Utah | $9 | $31 | 32 | 2,218 | -17.2% |
| Connecticut | $9 | $43 | 133 | 15,169 | -17.4% |
| Vermont | $9 | $28 | 10 | 631 | -18.1% |
| North Carolina | $8 | $25 | 176 | 10,994 | -21.3% |
| South Dakota | $8 | $36 | 14 | 1,013 | -21.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber