go back

Wound Debridement, Smaller Area

Michigan rates for HCPCS 97597

A provider removes dead, damaged, or infected tissue from a wound to help promote healing, using tools such as scissors, a scalpel, or other instruments. This version covers a smaller area of a single wound. Clearing away this unhealthy tissue helps the wound heal properly and reduces the risk of infection.

Rates data updated October 2026.

How much does Wound Debridement, Smaller Area cost?

$74.13

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $209 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$41.69 to $105
FacilityA hospital or hospital-owned outpatient department$209$170 to $339

How much rates vary

Facilitymedian $209 · 10th to 90th $105 to $562Professionalmedian $62 · 10th to 90th $32 to $115
$10$50$200$1K$5Kfacility $209professional $62

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$104.71
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$77.62
Typical High
$114.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$29.51
Median
$70.79
Typical High
$81.28
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.89
Median
$14.13
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.89
Median
$9.33
Typical High
$10.96
Ambetter
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$32.36
Typical High
$95.50
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$489.78
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$47.86
Typical High
$165.96
CareSource
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$123.03
CareSource
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$46.77
Typical High
$112.20
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$218.78
Typical High
$562.34
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$91.20
Typical High
$114.82
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$31.62
Median
$37.15
Typical High
$85.11
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.31
Median
$7.41
Typical High
$17.38
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.17
Median
$5.13
Typical High
$11.48
Priority Health
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$45.71
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$177.83
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$52.48
Typical High
$83.18

Where Michigan sits

The same service costs 2.8 times more in Alaska than in Kentucky. 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.

Michigan· 33rd of 51

$74.13

AK $141KY $51.29

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.