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Excision Of A Pressure Sore Over The Tailbone Area

Montana rates for HCPCS 15936

A pressure sore over the sacrum — the flat bone at the base of the spine, just above the buttock crease — is cut out along with the dead and infected tissue around and beneath it, back to healthy bleeding tissue. Clearing the wound this way controls infection and gives a clean base that can heal or be closed. It is done for deep sores that will not heal with dressings alone.

Rates data updated October 2026.

How much does Excision Of A Pressure Sore Over The Tailbone Area cost?

$2,764

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

Insurers have agreed to pay about $2,764 for this procedure. That total is two separate charges: $1,318 to the doctor who performs it, and $1,445 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,318$933 to $1,445
Facility feeThe hospital or surgery center$1,445$1,413 to $1,514

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,047 to $1,820Professionalmedian $1,318 · 10th to 90th $79 to $1,514
$100$200$500$1K$2K$5Kfacility $1,445professional $1,318

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
Professional
Modifier
None
Typical Low
$724.44
Median
$870.96
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,445.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,445.44
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,445.44
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,230.27
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,479.11
Typical High
$1,659.59

Where Montana sits

The same service costs 3.7 times more in Alaska than in Delaware. 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

Montana· 26th of 51

$2,764

$1,318 physician + $1,445 facility

AK $6,515DE $1,768

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.