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Unlisted Pressure Sore Removal Procedure

Kentucky 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?

$8,511

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $8,511 from a physician practice, and about $8,511 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 6 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$8,511$2,818 to $72,444
FacilityA hospital or hospital-owned outpatient department$8,511$1,622 to $10,715

How much rates vary

Facilitymedian $8,511 · 10th to 90th $851 to $11,220Professionalmedian $8,511 · 10th to 90th $2,818 to $85,114
$100.0$1.0K$10.0K$100.0Kfacility $8,511professional $8,511

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
$794.33
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,715.19
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$81,283.05
Typical High
$97,723.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60,255.96
Median
$79,432.82
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,445.44
Typical High
$2,630.27

Where Kentucky 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.

Kentucky $8,511 · 6th 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.