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Skin Substitute, Head/Neck/Genitalia/Hands/Feet, 25 sq cm

Nationwide rates for HCPCS C5275

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Rates data updated October 2026.

How much does Skin Substitute, Head/Neck/Genitalia/Hands/Feet, 25 sq cm cost?

$1,413

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $1,698 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 17 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$79.43 to $138
FacilityA hospital or hospital-owned outpatient department$1,698$603 to $3,236

How much rates vary

Facilitymedian $1,698 · 10th to 90th $309 to $4,467Professionalmedian $120 · 10th to 90th $79 to $170
$100$200$500$1K$2K$5K$10Kfacility $1,698professional $120

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
$549.54
Median
$2,691.53
Typical High
$5,011.87
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
$79.43
Median
$109.65
Typical High
$158.49
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,412.54
Typical High
$2,570.40
CDPHP
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
DeanCare
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$501.19
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
$371.54
Median
$478.63
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$489.78
Typical High
$1,862.09
Midlands
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$446.68
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Network Health
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$954.99
Typical High
$2,344.23
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$602.56
Typical High
$954.99
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$912.01
Typical High
$2,137.96
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$371.54
Typical High
$741.31
Prevea360
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
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
CSTM-00
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,995.26

What it costs in each state

The same service costs 30.9 times more in California 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.

CA $3,890IL $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.