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Burn Care, Small Area

Illinois rates for HCPCS 16020

Cleaning, dressing changes, and/or removal of damaged tissue for a partial-thickness burn covering a small area, generally under about 5% of the body's total skin surface. This can be an initial treatment or a follow-up visit as the burn heals.

Rates data updated July 2026.

How much does Burn Care, Small Area cost?

$514

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

Insurers have agreed to pay about $514 for this procedure. That total is two separate charges: $87.10 to the doctor who performs it, and $427 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$87.10$67.61 to $132
Facility feeThe hospital or surgery center$427$245 to $1,259

How much rates vary

Facilitymedian $427 · 10th to 90th $79 to $3,236Professionalmedian $87 · 10th to 90th $51 to $174
$50$200$1K$5Kfacility $427professional $87

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
$79.43
Median
$426.58
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$162.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$269.15
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
$66.07
Median
$70.79
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$630.96
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$165.96

Where Illinois sits

The same service costs 21.6 times more in California than in Maryland. 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

Illinois· 35th of 51

$514

$87.10 physician + $427 facility

CA $3,800MD $176

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.