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Skin Substitute, Trunk/Arms/Legs, First 100 sq cm

Nationwide rates for HCPCS C5273

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

Rates data updated October 2026.

How much does Skin Substitute, Trunk/Arms/Legs, First 100 sq cm cost?

$2,399

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $2,692 from a hospital or other facility.

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 15 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$166 to $263
FacilityA hospital or hospital-owned outpatient department$2,692$1,072 to $4,677

How much rates vary

Facilitymedian $2,692 · 10th to 90th $631 to $6,761Professionalmedian $214 · 10th to 90th $166 to $331
$200$500$1K$2K$5K$10Kfacility $2,692professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$3,715.35
Typical High
$7,762.47
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,318.26
Typical High
$3,467.37
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$213.80
Typical High
$316.23
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$4,570.88
Typical High
$8,128.31
CDPHP
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$1,548.82
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$199.53
Typical High
$407.38
Medcost
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,548.82
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,445.44
Typical High
$4,677.35
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Network Health
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$2,818.38
Typical High
$4,786.30
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,584.89
Typical High
$2,630.27
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,290.87
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$9,772.37

What it costs in each state

The same service costs 41.7 times more in Indiana than in Illinois. 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.

Touch or drag across the chart to see any state's rate.

IN $5,248IL $126

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.