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Skin Substitute Graft, Sensitive Area, Smaller Area

Illinois 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?

$155

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $1,514 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 6 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$145$102 to $209
FacilityA hospital or hospital-owned outpatient department$1,514$513 to $3,162

How much rates vary

Facilitymedian $1,514 · 10th to 90th $117 to $5,129Professionalmedian $145 · 10th to 90th $81 to $288
$1$10$100$1K$10Kfacility $1,514professional $145

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
$1,548.82
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$263.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$457.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,949.84
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$302.00

Where Illinois 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.

Illinois· 35th of 51

$155

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.