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Radical Removal Of Large Face Or Scalp Tumor

Georgia 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?

$5,525

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

Insurers have agreed to pay about $5,525 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $4,266 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$1,259$1,023 to $1,778
Facility feeThe hospital or surgery center$4,266$1,995 to $5,754

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,230 to $8,128Professionalmedian $1,259 · 10th to 90th $912 to $2,344
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,266professional $1,259

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
$1,862.09
Median
$5,011.87
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$2,344.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,715.35
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$7,585.78
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$2,290.87

Where Georgia sits

The same service costs 6.3 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeGeorgia $5,525 · 16th of 50
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.