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Nationwide rates for HCPCS 15101

Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Facilitymedian $3,388 · 10th–90th $182–$10,0000%10%10th90th$3,388Professionalmedian $245 · 10th–90th $112–$5010%20%10th90th$245$0.0$0.2$2.0$20.0$200.0$2.0K$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
$186.21 / $3,715.35 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,265.80 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $645.65 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,174.90 / $3,630.78

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