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Radical Removal Of Large Face Or Scalp Tumor

Maine 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?

$1,175

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $1,047 to $1,445.

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.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $5,888 to $5,888Professionalmedian $1,175 · 10th to 90th $891 to $1,905
$1.0K$2.0K$5.0K$10.0Kfacility $5,888professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,238.72
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$2,511.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,187.76

Where Maine sits

The same service costs 4.0 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,175 · 42nd of 51
CA $3,981DE $1,000

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.