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Excision Of A Pressure Sore Over The Tailbone Area

New York 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.

Facilitymedian $4,571 · 10th–90th $1,230$10,2330%5%10%10th90th$4,571$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,677.35
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,398.83
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,290.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$3,019.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,548.13
Typical High
$7,244.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$3,019.95