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Radical Removal Of Large Face Or Scalp Tumor

Connecticut rates for HCPCS 21016

This is the more extensive removal of a soft-tissue growth from the face or scalp, where the surgeon takes a wider margin of surrounding healthy tissue because the growth is suspected or known to be aggressive. It applies to larger growths, roughly three-quarters of an inch across or more.

Rates data updated July 2026.

How much does Radical Removal Of Large Face Or Scalp Tumor cost?

$7,402

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

Insurers have agreed to pay about $7,402 for this procedure. That total is two separate charges: $1,514 to the doctor who performs it, and $5,888 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$1,514$1,000 to $2,291
Facility feeThe hospital or surgery center$5,888$4,677 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,890 to $11,749Professionalmedian $1,514 · 10th to 90th $912 to $3,090
$1K$2K$5K$10Kfacility $5,888professional $1,514

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
$3,890.45
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,995.26
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,819.70
Typical High
$2,691.53
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,445.44
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,548.82
Typical High
$2,691.53

Where Connecticut sits

The same service costs 6.3 times more in Indiana 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

Connecticut· 3rd of 50

$7,402

$1,514 physician + $5,888 facility

IN $11,256MD $1,788

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.