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Unlisted Pressure Sore Removal Procedure

Connecticut 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?

$5,495

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $54,954 from a physician practice, and about $5,248 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 4 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$54,954$64.57 to $54,954
FacilityA hospital or hospital-owned outpatient department$5,248$3,548 to $8,128

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,905 to $10,233Professionalmedian $54,954 · 10th to 90th $0 to $54,954
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $5,248professional $54,954

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
$4,570.88
Median
$7,079.46
Typical High
$10,471.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,162.28
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$467.74
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,786.30
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$64.57

Where Connecticut sits

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.

Connecticut $5,495 · 11th of 50
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.