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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Illinois rates for HCPCS 15576

Creates a flap of skin and underlying tissue that stays attached at one end so it keeps its own blood supply, and moves it to cover a defect on the eyelid, nose, ear, lip or inside the mouth. Keeping the attachment lets the moved tissue survive while it grows into its new bed. A later operation to divide the attachment is sometimes needed.

Rates data updated July 2026.

How much does Pedicle Flap On Eyelid, Nose, Ear Or Lip cost?

$933

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,778 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 7 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$851$676 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,778$1,230 to $4,266

How much rates vary

Facilitymedian $1,778 · 10th to 90th $708 to $7,586Professionalmedian $851 · 10th to 90th $575 to $1,479
$1$10$100$1K$10Kfacility $1,778professional $851

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
$676.08
Median
$1,659.59
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,479.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,412.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,754.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$812.83
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,584.89

Where Illinois sits

The same service costs 3.5 times more in Hawaii 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.

Illinois· 21st of 51

$933

HI $2,399WV $676

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.