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Skin Substitute Graft, Sensitive Area, Smaller Area

Idaho rates for HCPCS 15275

A skin substitute material, made from processed tissue rather than the patient's own skin, is applied over a wound to protect it and support healing, in this case on a sensitive area such as the face, hands, feet, or neck. This version applies to a smaller area of a larger overall wound.

Rates data updated July 2026.

How much does Skin Substitute Graft, Sensitive Area, Smaller Area cost?

$174

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $2,138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$129 to $229
FacilityA hospital or hospital-owned outpatient department$2,138$295 to $3,631

How much rates vary

Facilitymedian $2,138 · 10th to 90th $151 to $5,495Professionalmedian $158 · 10th to 90th $89 to $288
$100$200$500$1K$2K$5Kfacility $2,138professional $158

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
$295.12
Median
$2,137.96
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,137.96
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$309.03
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$380.19
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$269.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$6,025.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$512.86
Typical High
$2,884.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$263.03

Where Idaho sits

The same service costs 3.2 times more in Alaska than in Vermont. 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.

Idaho· 23rd of 51

$174

AK $363VT $112

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.