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Burn Care, Small Area

North Carolina 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?

$292

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $292 for this procedure. That total is two separate charges: $83.18 to the doctor who performs it, and $209 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$83.18$60.26 to $158
Facility feeThe hospital or surgery center$209$87.10 to $398

How much rates vary

Facilitymedian $209 · 10th to 90th $60 to $933Professionalmedian $83 · 10th to 90th $51 to $219
$50$100$200$500$1K$2K$5Kfacility $209professional $83

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
$74.13
Median
$234.42
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$169.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$128.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$724.44

Where North Carolina 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

North Carolina· 46th of 51

$292

$83.18 physician + $209 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.