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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 October 2026.

How much does Radical Removal Of Large Face Or Scalp Tumor cost?

$3,509

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

Insurers have agreed to pay about $3,509 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $1,514 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$1,995$1,622 to $2,291
Facility feeThe hospital or surgery center$1,514$1,413 to $1,698

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,318 to $1,995Professionalmedian $1,995 · 10th to 90th $1,096 to $2,754
$1K$2K$5Kfacility $1,514professional $1,995

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,000.00
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$7,413.10
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,238.72
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$1,949.84
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,995.26
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota sits

The same service costs 3.4 times more in Wisconsin than in Kentucky. 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· 27th of 51

$3,509

$1,995 physician + $1,514 facility

WI $7,760KY $2,277

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.