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Radical Removal Of Large Face Or Scalp Tumor

Illinois 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?

$3,254

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

Insurers have agreed to pay about $3,254 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $1,905 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$1,023 to $1,862
Facility feeThe hospital or surgery center$1,905$1,259 to $4,169

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,023 to $5,888Professionalmedian $1,349 · 10th to 90th $891 to $2,291
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,905professional $1,349

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
$1,023.29
Median
$1,862.09
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,011.87
Typical High
$22,387.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,905.46
Typical High
$4,786.30
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
$1,174.90
Median
$1,288.25
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$107.15
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,187.76

Where Illinois 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 feeIllinois $3,254 · 43rd 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.