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Unlisted Pressure Sore Removal Procedure

Utah 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?

$1,445

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $1,514 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$44.67 to $4,571
FacilityA hospital or hospital-owned outpatient department$1,514$1,202 to $2,818

How much rates vary

Facilitymedian $1,514 · 10th to 90th $501 to $4,571Professionalmedian $45 · 10th to 90th $45 to $5,012
$50$100$200$500$1K$2K$5Kfacility $1,514professional $45

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
$3,162.28
Median
$4,466.84
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,089.30
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$1,202.26
Typical High
$2,818.38

Where Utah 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.

Utah· 12th of 51

$1,445

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.