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Attached Tissue Flap From Scalp, Arm, or Leg

Utah 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?

$5,384

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

Insurers have agreed to pay about $5,384 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $4,571 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$813$741 to $1,096
Facility feeThe hospital or surgery center$4,571$3,162 to $7,413

How much rates vary

Facilitymedian $4,571 · 10th to 90th $776 to $8,913Professionalmedian $813 · 10th to 90th $646 to $1,698
$1K$2K$5K$10Kfacility $4,571professional $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
$776.25
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,548.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,244.36
Typical High
$10,964.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,412.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Select Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$1,995.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,258.93

Where Utah 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

Utah· 16th of 49

$5,384

$813 physician + $4,571 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.