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Unlisted Pressure Sore Removal Procedure

Idaho 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 October 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$832

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $851 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$30.20 to $1,122
FacilityA hospital or hospital-owned outpatient department$851$537 to $1,413

How much rates vary

Facilitymedian $851 · 10th to 90th $407 to $2,291Professionalmedian $30 · 10th to 90th $30 to $1,122
$50$100$200$500$1K$2K$5Kfacility $851professional $30

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
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$977.24
Typical High
$2,137.96
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$1,380.38
Typical High
$12,589.25
Moda Health
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$4,466.84
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,290.87
Select Health
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$891.25
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$501.19
Typical High
$724.44

Where Idaho sits

The same service costs 55.0 times more in Oklahoma than in Montana. 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.

Idaho· 31st of 51

$832

OK $4,365MT $79.43

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.