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Additional Wound Cleaning (Debridement)

Illinois rates for HCPCS 97598

An add-on procedure for cleaning and removing dead or damaged tissue from a larger wound, covering the area beyond what the base cleaning service already addresses. It is used when a wound is large enough that more than one section needs this tissue-removal treatment during the same visit.

Rates data updated July 2026.

How much does Additional Wound Cleaning (Debridement) cost?

$480

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $480 for this procedure. That total is two separate charges: $33.11 to the doctor who performs it, and $447 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$33.11$22.91 to $47.86
Facility feeThe hospital or surgery center$447$87.10 to $1,288

How much rates vary

Facilitymedian $447 · 10th to 90th $40 to $3,311Professionalmedian $33 · 10th to 90th $18 to $66
$10$100$1K$10Kfacility $447professional $33

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
$39.81
Median
$512.86
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$30.20
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.91
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$173.78
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$39.81
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$40.74
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$199.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$812.83
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$38.90
Typical High
$74.13

Where Illinois sits

The same service costs 71.0 times more in Connecticut than in California. 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.

Physician feeFacility fee

Illinois· 26th of 51

$480

$33.11 physician + $447 facility

CT $3,580CA $50.40

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.