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Radical Removal Of Large Face Or Scalp Tumor

New Jersey 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?

$7,237

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,237 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $6,166 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$1,072$977 to $1,820
Facility feeThe hospital or surgery center$6,166$4,571 to $8,511

How much rates vary

Facilitymedian $6,166 · 10th to 90th $2,754 to $10,965Professionalmedian $1,072 · 10th to 90th $871 to $5,495
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,166professional $1,072

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
$2,754.23
Median
$6,165.95
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$3,162.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,548.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$9,549.93
Typical High
$14,454.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$2,511.89

Where New Jersey 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 feeNew Jersey $7,237 · 5th 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.