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Additional Wound Cleaning (Debridement)

Massachusetts 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?

$1,429

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

Insurers have agreed to pay about $1,429 for this procedure. That total is two separate charges: $48.98 to the doctor who performs it, and $1,380 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$48.98$26.30 to $72.44
Facility feeThe hospital or surgery center$1,380$89.13 to $2,570

How much rates vary

Facilitymedian $1,380 · 10th to 90th $24 to $3,715Professionalmedian $49 · 10th to 90th $21 to $120
$10$50$200$1K$5Kfacility $1,380professional $49

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
$1,905.46
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$25.12
Typical High
$128.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$630.96
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$47.86
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$47.86
Typical High
$120.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$26.92
Typical High
$380.19
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$46.77
Typical High
$75.86
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$120.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$416.87
Typical High
$1,023.29
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$630.96
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$47.86
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,862.09
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$48.98
Typical High
$107.15

Where Massachusetts 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

Massachusetts· 10th of 51

$1,429

$48.98 physician + $1,380 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.