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Removal Of Damaged Tissue Beneath The Skin

North Carolina 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?

$628

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $628 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $537 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$91.20$57.54 to $148
Facility feeThe hospital or surgery center$537$204 to $955

How much rates vary

Facilitymedian $537 · 10th to 90th $81 to $1,950Professionalmedian $91 · 10th to 90th $43 to $309
$10$50$200$1K$5Kfacility $537professional $91

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
$87.10
Median
$562.34
Typical High
$2,137.96
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$91.20
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$208.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$138.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$165.96
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$165.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,096.48

Where North Carolina 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

North Carolina· 43rd of 51

$628

$91.20 physician + $537 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.