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Unlisted Pressure Sore Removal Procedure

Illinois 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?

$1,122

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $724 to $1,622.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,122 · 10th to 90th $513 to $2,951Professionalmedian $1,023 · 10th to 90th $120 to $10,233
$100$200$500$1K$2K$5K$10Kfacility $1,122professional $1,023

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
$933.25
Median
$3,235.94
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$5,623.41
Typical High
$11,481.54
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$758.58
Typical High
$2,511.89
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,047.13
Typical High
$3,019.95

Where Illinois 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.

Illinois· 17th of 51

$1,122

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.