go back

Radical Removal Of Large Face Or Scalp Tumor

South Dakota 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?

$3,558

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,558 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $1,738 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,820$1,000 to $2,291
Facility feeThe hospital or surgery center$1,738$1,549 to $3,090

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,202 to $4,365Professionalmedian $1,820 · 10th to 90th $832 to $2,884
$1K$2K$5Kfacility $1,738professional $1,820

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
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,819.70
Typical High
$7,413.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,238.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$1,949.84
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,778.28
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota 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

South Dakota· 39th of 50

$3,558

$1,820 physician + $1,738 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.