CPT 15100: Split-Thickness Autograft from Trunk/Arms/Legs
Medicare pays $948 and commercial payers pay $1970 on average nationally for this procedure.
CPT code 15100 describes a split-thickness skin autograft harvested from the trunk, arms, or legs and placed to cover a defect of the first 100 cm² or less (or 1% body area for an infant/child); service type is skin grafting (split-thickness autograft) and the typical site of service is an operating room or procedure suite for surgical management of wounds such as burns or trauma.
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National Reimbursement Benchmarks
Commercial averages sit well above Medicare: Blue Cross Blue Shield, Cigna, Aetna, UnitedHealth Group and BUCA all show mean rates higher than Medicare’s $948.10 mean, with BUCA’s average at $1,970.10 — roughly $1,022.00 higher than Medicare’s mean. This gap highlights a substantial premium in BUCA’s national commercial average relative to the Medicare baseline.
Dispersion varies materially across payers. Blue Cross Blue Shield and UnitedHealth Group exhibit the widest interquartile spreads: BCBS P75–P25 equals $2,993.10 and UnitedHealth Group P75–P25 equals $803.30, indicating BCBS has the largest middle 50% variability and UnitedHealth Group shows notable spread as well. Cigna and Aetna show tighter middle spreads (Cigna P75–P25 = $762.60; Aetna P75–P25 = $606.50), suggesting more concentrated commercial pricing among those payers, while BUCA’s IQR is $1,024.60, reflecting substantial but not the largest dispersion.