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Excision Of A Pressure Sore Over The Tailbone Area

North Carolina 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 July 2026.

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

$1,738

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,096 to $6,918.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $891 to $10,471Professionalmedian $1,445 · 10th to 90th $1,445 to $1,622
$1K$2K$5K$10Kfacility $1,738professional $1,445

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,311.31
Typical High
$10,471.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,621.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$33,884.42

Where North Carolina sits

The same service costs 8.9 times more in Indiana than in West Virginia. 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.

North Carolina· 39th of 49

$1,738

IN $7,762WV $871

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.