Removal of skin of fingernail or toenail
Medicare pricing data for 2,380 providers across 46 states
Prices vary significantly by location — from $81 in Maine to $181 in New Jersey. Where you get this procedure matters more than almost any other factor. 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
Removal of skin of fingernail or toenail (HCPCS code 11765) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $148.32, but hospitals typically charge $272.76 — a 1.8x 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 $148.32, your out-of-pocket cost would be approximately $29.66. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $113.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $181 | $325 | 54 | 466 | +21.7% |
| Connecticut | $177 | $202 | 7 | 196 | +19.6% |
| New York | $175 | $289 | 169 | 5,494 | +17.7% |
| Hawaii | $164 | $452 | 10 | 14 | +10.9% |
| Maryland | $164 | $216 | 34 | 656 | +10.8% |
| Washington | $164 | $361 | 74 | 278 | +10.6% |
| Pennsylvania | $163 | $260 | 49 | 726 | +9.6% |
| Rhode Island | $161 | $272 | 8 | 513 | +8.4% |
| Virginia | $155 | $211 | 50 | 477 | +4.4% |
| Massachusetts | $155 | $402 | 25 | 48 | +4.4% |
| California | $153 | $260 | 378 | 13,521 | +3.3% |
| Illinois | $153 | $281 | 66 | 563 | +3.1% |
| Nevada | $152 | $263 | 12 | 175 | +2.8% |
| Florida | $150 | $292 | 119 | 4,717 | +0.9% |
| Colorado | $148 | $336 | 36 | 56 | -0.1% |
| Wyoming | $148 | $358 | 12 | 13 | -0.3% |
| Arizona | $146 | $313 | 114 | 1,668 | -1.9% |
| Oregon | $145 | $432 | 22 | 86 | -2.5% |
| Wisconsin | $143 | $446 | 35 | 97 | -3.6% |
| North Carolina | $141 | $361 | 61 | 141 | -5.2% |
| South Carolina | $140 | $388 | 37 | 336 | -5.6% |
| Idaho | $140 | $328 | 17 | 86 | -5.7% |
| Kentucky | $140 | $357 | 15 | 33 | -5.9% |
| Utah | $139 | $310 | 32 | 61 | -6.0% |
| Mississippi | $138 | $327 | 19 | 47 | -7.0% |
| New Hampshire | $138 | $396 | 7 | 89 | -7.1% |
| Indiana | $138 | $242 | 70 | 1,073 | -7.3% |
| Arkansas | $138 | $288 | 16 | 240 | -7.3% |
| Kansas | $137 | $275 | 15 | 20 | -7.4% |
| Missouri | $137 | $326 | 46 | 74 | -7.8% |
| Michigan | $136 | $182 | 44 | 612 | -8.3% |
| Texas | $134 | $265 | 157 | 8,419 | -10.0% |
| Oklahoma | $133 | $323 | 39 | 70 | -10.1% |
| Louisiana | $133 | $420 | 28 | 95 | -10.2% |
| Minnesota | $132 | $463 | 51 | 133 | -11.1% |
| Nebraska | $132 | $351 | 21 | 28 | -11.2% |
| Ohio | $131 | $204 | 51 | 610 | -11.4% |
| Georgia | $129 | $261 | 57 | 720 | -13.3% |
| New Mexico | $127 | $309 | 17 | 354 | -14.7% |
| Alabama | $120 | $308 | 30 | 596 | -18.8% |
| South Dakota | $110 | $238 | 14 | 25 | -25.7% |
| Tennessee | $107 | $184 | 58 | 929 | -28.1% |
| North Dakota | $104 | $404 | 16 | 99 | -29.9% |
| Iowa | $103 | $317 | 22 | 77 | -30.3% |
| Alaska | $88 | $509 | 4 | 39 | -40.9% |
| Maine | $81 | $147 | 10 | 56 | -45.1% |
⚠️ 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