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Autologous Fat, Dermis, and Fascia Grafting

New Hampshire rates for HCPCS 15770

This procedure places a graft made from the patient's own fat, dermis (the deeper layer of skin), and fascia — the fibrous tissue that wraps muscles — taken from a donor site elsewhere on the body. The graft is used to rebuild, reinforce, or fill a defect during a reconstructive or repair procedure. Because it comes from the patient's own tissue, it carries less risk of rejection than donor or synthetic material.

Rates data updated July 2026.

How much does Autologous Fat, Dermis, and Fascia Grafting cost?

$4,742

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,742 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $3,890 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$617 to $1,259
Facility feeThe hospital or surgery center$3,890$2,399 to $9,772

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,291 to $11,482Professionalmedian $851 · 10th to 90th $589 to $1,698
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $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
$100.00
Median
$2,398.83
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$954.99
Typical High
$1,659.59
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$2,454.71

Where New Hampshire sits

The same service costs 8.2 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

New Hampshire· 26th of 49

$4,742

$851 physician + $3,890 facility

IN $10,389WV $1,262

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.