go back

Skin Substitute Graft, Sensitive Area, Smaller Area

Virginia 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?

$162

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $1,479 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$151$95.50 to $178
FacilityA hospital or hospital-owned outpatient department$1,479$170 to $3,981

How much rates vary

Facilitymedian $1,479 · 10th to 90th $112 to $7,079Professionalmedian $151 · 10th to 90th $81 to $288
$50$200$1K$5Kfacility $1,479professional $151

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
$138.04
Median
$2,754.23
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$239.88
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$223.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$263.03

Where Virginia 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.

Virginia· 31st of 51

$162

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.