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Radical Removal Of Large Face Or Scalp Tumor

New York 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?

$5,961

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

Insurers have agreed to pay about $5,961 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $4,786 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$977 to $1,778
Facility feeThe hospital or surgery center$4,786$2,951 to $7,586

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,413 to $10,965Professionalmedian $1,175 · 10th to 90th $891 to $2,951
$100.0$1.0K$10.0K$100.0Kfacility $4,786professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,981.07
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$2,570.40
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
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
$1,000.00
Median
$1,621.81
Typical High
$4,466.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,884.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,344.23
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$2,137.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$4,365.16
Univera
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$2,818.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$2,691.53

Where New York 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 York $5,961 · 14th 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.