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Attached Tissue Flap From Scalp, Arm, or Leg

Ohio rates for HCPCS 15572

Raises a strip of skin and the tissue beneath it from the scalp, an arm, or a leg, leaving it joined at one end so it keeps its own blood supply, and moves it across to cover a nearby wound. The attachment stays until the moved tissue has picked up a blood supply at its new site. It is used where a plain skin graft would not survive or would be too thin.

Rates data updated July 2026.

How much does Attached Tissue Flap From Scalp, Arm, or Leg cost?

$4,528

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $4,528 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $3,715 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$676 to $1,122
Facility feeThe hospital or surgery center$3,715$1,698 to $7,586

How much rates vary

Facilitymedian $3,715 · 10th to 90th $851 to $10,965Professionalmedian $813 · 10th to 90th $631 to $2,344
$500$1K$2K$5K$10Kfacility $3,715professional $813

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
$851.14
Median
$3,801.89
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,380.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,737.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,495.41
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,412.54

Where Ohio sits

The same service costs 7.0 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

Ohio· 26th of 49

$4,528

$813 physician + $3,715 facility

IN $10,974WV $1,571

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.