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Additional Wound Cleaning (Debridement)

Kentucky 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?

$70.57

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

Insurers have agreed to pay about $70.57 for this procedure. That total is two separate charges: $26.92 to the doctor who performs it, and $43.65 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$26.92$22.39 to $43.65
Facility feeThe hospital or surgery center$43.65$31.62 to $851

How much rates vary

Facilitymedian $44 · 10th to 90th $25 to $3,890Professionalmedian $27 · 10th to 90th $12 to $72
$10$50$200$1K$5Kfacility $44professional $27

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
$25.12
Median
$51.29
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.02
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$22.39
Typical High
$61.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$30.20
Typical High
$32.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$41.69
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$39.81
Typical High
$70.79

Where Kentucky 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

Kentucky· 49th of 51

$70.57

$26.92 physician + $43.65 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.