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Nationwide rates for HCPCS 21175

Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts)

Facilitymedian $6,026 · 10th–90th $2,188–$13,8040%5%10%10th90th$6,026Professionalmedian $2,630 · 10th–90th $1,995–$5,8880%20%10th90th$2,630$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $5,248.07 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,290.87 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,943.28 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,884.03 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $6,309.57 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,235.94 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,918.31 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,630.27 / $5,128.61

See more rates by state

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