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Sitting-Bone Pressure Sore Removal With Bone Trim

Virginia rates for HCPCS 15946

Cuts out a pressure sore over the ischium, the bone a person sits on, together with the damaged tissue around it, and takes down the prominent part of the underlying bone that has been driving the pressure. Lowering that bony point reduces the load on the area and gives the repair a much better chance of holding. The wound is left prepared for a muscle flap, skin flap, or graft to cover it.

Rates data updated July 2026.

How much does Sitting-Bone Pressure Sore Removal With Bone Trim cost?

$3,981

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,042 to $7,079.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,622 to $9,772Professionalmedian $1,698 · 10th to 90th $1,413 to $2,089
$1K$2K$5K$10Kfacility $3,981professional $1,698

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
$1,819.70
Median
$5,370.32
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,511.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$3,019.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57

Where Virginia sits

The same service costs 5.8 times more in California 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.

Virginia· 23rd of 49

$3,981

CA $8,913WV $1,549

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.