go back

Unlisted Pressure Sore Removal Procedure

Virginia 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?

$4,898

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $5,248 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 5 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$4,365$3,236 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,248$3,236 to $8,318

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,738 to $11,482Professionalmedian $4,365 · 10th to 90th $2,042 to $10,000
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,248professional $4,365

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
$3,235.94
Median
$5,888.44
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$7,079.46
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$3,548.13
Typical High
$4,466.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,089.30
Typical High
$3,890.45

Where Virginia 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.

Virginia $4,898 · 15th 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.