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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 October 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$603

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $389 to $1,905.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $575 · 10th to 90th $302 to $4,365Professionalmedian $724 · 10th to 90th $115 to $5,248
$200$500$1K$2K$5K$10K$20Kfacility $575professional $724

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
$1,000.00
Median
$1,584.89
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,288.25
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$851.14
Typical High
$29,512.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$501.19
Typical High
$2,754.23

Where North Carolina 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.

North Carolina· 44th of 51

$603

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.