go back

Complex Closure After Perianal Skin Removal

California rates for HCPCS 11471

Surgical removal of skin and underlying tissue affected by a long-standing inflammatory skin condition that causes recurrent boils, tunnels, and abscesses in skin folds, in this case around the anus, genitals, or navel. This version is distinguished by needing a more complex closure technique, such as a flap or graft reconstruction, to close the wound afterward, rather than by how much tissue is removed. It is done when the condition has not responded well to medication or drainage alone.

Rates data updated July 2026.

How much does Complex Closure After Perianal Skin Removal cost?

$6,356

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

Insurers have agreed to pay about $6,356 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $5,888 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$331 to $871
Facility feeThe hospital or surgery center$5,888$3,890 to $8,710

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,820 to $13,804Professionalmedian $468 · 10th to 90th $302 to $2,138
$100$500$2K$10Kfacility $5,888professional $468

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
$2,187.76
Median
$6,309.57
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$1,258.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,365.16
Typical High
$8,709.64
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$380.19
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$954.99
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$426.58
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$1,148.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,570.88
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$1,071.52
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,737.80
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$977.24

Where California sits

The same service costs 10.2 times more in Indiana than in West Virginia. 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

California· 8th of 50

$6,356

$468 physician + $5,888 facility

IN $9,749WV $960

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.