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Radical Removal Of Large Face Or Scalp Tumor

Kentucky 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?

$3,314

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

Insurers have agreed to pay about $3,314 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $2,291 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$1,023$912 to $1,175
Facility feeThe hospital or surgery center$2,291$1,072 to $8,511

How much rates vary

Facilitymedian $2,291 · 10th to 90th $794 to $10,715Professionalmedian $1,023 · 10th to 90th $851 to $1,585
$1K$2K$5K$10Kfacility $2,291professional $1,023

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
$537.03
Median
$1,071.52
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,318.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,621.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,995.26

Where Kentucky 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

Kentucky· 41st of 50

$3,314

$1,023 physician + $2,291 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.