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Skin Substitute Graft, Sensitive Area, Smaller Area

South Dakota 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?

$126

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $1,995 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$97.72$75.86 to $214
FacilityA hospital or hospital-owned outpatient department$1,995$186 to $3,802

How much rates vary

Facilitymedian $1,995 · 10th to 90th $123 to $4,074Professionalmedian $98 · 10th to 90th $44 to $372
$20$100$500$2K$10Kfacility $1,995professional $98

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
$2,691.53
Median
$3,801.89
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$239.88
Avera
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$186.21
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$407.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$371.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$371.54

Where South Dakota 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.

South Dakota· 50th of 51

$126

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.