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Removal Of Damaged Tissue Beneath The Skin

Illinois rates for HCPCS 11042

This is a procedure to remove dead, damaged, or infected tissue from just beneath the skin's surface, in the fatty layer under the skin, to help a wound heal properly. It covers a defined smaller area of tissue treated during the procedure.

Rates data updated July 2026.

How much does Removal Of Damaged Tissue Beneath The Skin cost?

$913

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $913 for this procedure. That total is two separate charges: $100 to the doctor who performs it, and $813 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$100$60.26 to $178
Facility feeThe hospital or surgery center$813$427 to $1,862

How much rates vary

Facilitymedian $813 · 10th to 90th $117 to $5,623Professionalmedian $100 · 10th to 90th $50 to $302
$50$200$1K$5Kfacility $813professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$812.83
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$331.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$223.87

Where Illinois sits

The same service costs 17.0 times more in California than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Illinois· 32nd of 51

$913

$100 physician + $813 facility

CA $5,220MT $307

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.