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Skin Substitute Graft, Sensitive Area, Smaller Area

Ohio 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?

$186

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $2,188 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 9 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$141$102 to $200
FacilityA hospital or hospital-owned outpatient department$2,188$871 to $3,890

How much rates vary

Facilitymedian $2,188 · 10th to 90th $166 to $6,918Professionalmedian $141 · 10th to 90th $81 to $316
$50$200$1K$5Kfacility $2,188professional $141

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
$154.88
Median
$2,089.30
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$2,454.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$151.36
Median
$234.42
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$269.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,089.30
Typical High
$3,235.94
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$52.48
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,187.76
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$234.42

Where Ohio 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.

Ohio· 18th of 51

$186

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.