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Unlisted Pressure Sore Removal Procedure

New Jersey 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?

$6,026

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $6,026 for this service. Most negotiated rates run $4,467 to $10,233.

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 $6,761 · 10th to 90th $3,090 to $11,749Professionalmedian $5,888 · 10th to 90th $4 to $12,303
$10.0$100.0$1.0K$10.0Kfacility $6,761professional $5,888

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
$4,466.84
Median
$7,762.47
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5,888.44
Typical High
$12,302.69
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$6,760.83

Where New Jersey 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.

New Jersey $6,026 · 9th 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.