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Radical Removal Of Large Face Or Scalp Tumor

West Virginia 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?

$2,047

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $2,047 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $1,000 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$912 to $1,148
Facility feeThe hospital or surgery center$1,000$1,000 to $1,445

How much rates vary

Facilitymedian $1,000 · 10th to 90th $1,000 to $1,622Professionalmedian $1,047 · 10th to 90th $912 to $1,445
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,000professional $1,047

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
$1,000.00
Median
$1,000.00
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,148.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,288.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
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
$977.24
Median
$1,548.82
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,454.71
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,698.24

Where West Virginia 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 feeWest Virginia $2,047 · 49th 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.