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Pedicle Flap On Eyelid, Nose, Ear Or Lip

North Carolina 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?

$759

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,047 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 6 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$759$646 to $977
FacilityA hospital or hospital-owned outpatient department$1,047$759 to $2,512

How much rates vary

Facilitymedian $1,047 · 10th to 90th $631 to $6,761Professionalmedian $759 · 10th to 90th $617 to $1,698
$1K$2K$5Kfacility $1,047professional $759

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
$630.96
Median
$1,174.90
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,621.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,148.15
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
$562.34
Median
$741.31
Typical High
$1,479.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$6,606.93

Where North Carolina 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.

North Carolina· 44th of 51

$759

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.