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California rates for HCPCS 12016

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Facilitymedian $5,888 · 10th–90th $1,514–$13,8040%5%10%10th90th$5,888Professionalmedian $269 · 10th–90th $117–$5130%5%10%10th90th$269$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $6,456.54 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,265.80 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $275.42 / $512.86
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $245.47 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,548.82 / $6,456.54