go back

Skin Substitute Graft, Sensitive Area, Smaller Area

New Jersey 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?

$166

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $5,370 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$138$89.13 to $191
FacilityA hospital or hospital-owned outpatient department$5,370$3,311 to $7,244

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,148 to $10,233Professionalmedian $138 · 10th to 90th $81 to $631
$50$200$1K$5Kfacility $5,370professional $138

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
$1,202.26
Median
$5,495.41
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$891.25
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$602.56
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$263.03
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,073.80
Typical High
$7,943.28
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$257.04

Where New Jersey 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.

New Jersey· 29th of 51

$166

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.