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Unlisted Pressure Sore Removal Procedure

North Carolina 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?

$2,042

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,042 for this service. Most negotiated rates run $1,288 to $6,457.

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 $2,692 · 10th to 90th $1,000 to $8,710Professionalmedian $1,288 · 10th to 90th $708 to $1,660
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,692professional $1,288

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
$1,288.25
Median
$6,918.31
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where North Carolina 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.

North Carolina $2,042 · 31st 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.