go back

Additional-Area Muscle-Level Wound Cleaning

Pennsylvania rates for HCPCS 11046

This service is billed in addition to the main procedure for cleaning and removing damaged or dead tissue down to the level of muscle or connective tissue from a wound, covering an additional area beyond what the main procedure already treated in the same session. It's used for wounds too large to be fully treated by the base service alone. It supports healing by removing tissue that could otherwise slow recovery or increase infection risk.

Rates data updated October 2026.

How much does Additional-Area Muscle-Level Wound Cleaning cost?

$602

Typical total for the visit. In Pennsylvania, October 2026.

Insurers have agreed to pay about $602 for this procedure. That total is two separate charges: $64.57 to the doctor who performs it, and $537 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$64.57$50.12 to $74.13
Facility feeThe hospital or surgery center$537$110 to $2,570

How much rates vary

Facilitymedian $537 · 10th to 90th $68 to $4,467Professionalmedian $65 · 10th to 90th $47 to $117
$50$200$1K$5K$20Kfacility $537professional $65

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$1,047.13
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$63.10
Typical High
$89.13
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$36.31
Median
$44.67
Typical High
$50.12
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$3,162.28
Typical High
$18,620.87
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$74.13
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$575.44
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$61.66
Typical High
$104.71
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Geisinger
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$83.18
Typical High
$128.82
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$218.78
Typical High
$3,311.31
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$13,182.57
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$1,513.56
Typical High
$6,165.95
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$63.10
Typical High
$87.10
Martin's Point
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$36.31
Median
$46.77
Typical High
$50.12
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$66.07
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$173.78
Typical High
$457.09
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$57.54
Typical High
$70.79
United
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$141.25
Typical High
$1,230.27
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$69.18
Typical High
$117.49

Where Pennsylvania sits

The same service costs 21.7 times more in New York than in Kentucky. 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.

Physician feeFacility fee

Pennsylvania· 24th of 51

$602

$64.57 physician + $537 facility

NY $2,952KY $136

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.