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Skin Substitute Graft For A Larger Wound, Sensitive Area

North Carolina rates for HCPCS 15277

This procedure applies a lab-made or donor-derived skin substitute over an open wound in a sensitive area such as the face, scalp, hands, or feet, to help protect the area and support healing. It's used for a wound that covers a sizeable surface area, larger than what a single small graft would cover. The material acts as a temporary or supportive covering rather than the patient's own skin.

Rates data updated July 2026.

How much does Skin Substitute Graft For A Larger Wound, Sensitive Area cost?

$1,236

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,236 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $912 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$324$224 to $525
Facility feeThe hospital or surgery center$912$339 to $3,311

How much rates vary

Facilitymedian $912 · 10th to 90th $229 to $6,918Professionalmedian $324 · 10th to 90th $204 to $955
$200$500$1K$2K$5Kfacility $912professional $324

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
$338.84
Median
$1,288.25
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$691.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$549.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,309.57
Typical High
$6,309.57
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,884.03

Where North Carolina sits

The same service costs 11.7 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

North Carolina· 44th of 50

$1,236

$324 physician + $912 facility

IN $7,187WV $612

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.