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Radical Removal Of Large Face Or Scalp Tumor

Vermont 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?

$3,247

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $3,247 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $1,698 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$1,549$1,288 to $1,778
Facility feeThe hospital or surgery center$1,698$1,698 to $2,818

How much rates vary

Facilitymedian $1,698 · 10th to 90th $468 to $3,890Professionalmedian $1,549 · 10th to 90th $1,175 to $2,089
$500$1K$2Kfacility $1,698professional $1,549

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
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,288.25
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$1,949.84
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,398.83

Where Vermont 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

Vermont· 32nd of 51

$3,247

$1,549 physician + $1,698 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.