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Unlisted Pressure Sore Removal Procedure

Nationwide rates for HCPCS 15999

Surgical removal of a pressure sore (bedsore) and the damaged tissue around it, in a form that has no standard named entry of its own. Pressure sores form where sustained pressure over a bony area breaks down skin and the tissue beneath it. The surgeon submits a written report describing what was performed.

Rates data updated July 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$3,467

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $3,631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 47 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,122$79.43 to $6,026
FacilityA hospital or hospital-owned outpatient department$3,631$1,622 to $6,761

How much rates vary

Facilitymedian $3,631 · 10th to 90th $832 to $11,220Professionalmedian $1,122 · 10th to 90th $4 to $12,303
$0.1$10.0$1.0K$100.0Kfacility $3,631professional $1,122

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$5,128.61
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3,235.94
Typical High
$12,589.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$4,168.69
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$389.05
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,862.09
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$60.26

What it costs in each state

The same service costs 3090.3 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

WI $11,482MD $3.72

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.