Nationwide rates for HCPCS C5276

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; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

Rates data updated July 2026.

How much does HCPCS C5276 cost?

$2,455

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $2,754 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 12 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$30.20	$23.44 to $85.11
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$2,754	$1,230 to $3,981

How much rates vary

Facilitymedian $2,754 · 10th to 90th $447 to $4,898Professionalmedian $30 · 10th to 90th $21 to $200

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $1,819.70 Median $3,630.78 Typical High $5,011.87	Facility	Global	$1,819.70	$3,630.78	$5,011.87
United Setting Facility Modifier Global Typical Low $204.17 Median $912.01 Typical High $2,630.27	Facility	Global	$204.17	$912.01	$2,630.27

What it costs in each state

The same service costs 245.5 times more in Indiana than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

IN $7,413SC $30.20

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.