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Excision Of A Pressure Sore Over The Tailbone Area

Vermont 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?

$1,096

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $933 to $1,413.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $1,259 · 10th to 90th $575 to $2,512Professionalmedian $1,047 · 10th to 90th $891 to $1,905
$500$1K$2Kfacility $1,259professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$933.25
Typical High
$1,995.26
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,137.96

Where Vermont sits

The same service costs 7.4 times more in Alaska than in Texas. 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.

Vermont· 24th of 51

$1,096

AK $3,631TX $490

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.