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Additional Wound Cleaning (Debridement)

North Carolina 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?

$218

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $218 for this procedure. That total is two separate charges: $44.67 to the doctor who performs it, and $174 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$44.67$24.55 to $74.13
Facility feeThe hospital or surgery center$174$45.71 to $447

How much rates vary

Facilitymedian $174 · 10th to 90th $26 to $2,630Professionalmedian $45 · 10th to 90th $13 to $123
$10$100$1K$10Kfacility $174professional $45

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
$29.51
Median
$181.97
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$40.74
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$33.11
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$43.65
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$34.67
Typical High
$60.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$34.67
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$28.18
Typical High
$74.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$398.11

Where North Carolina 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

North Carolina· 36th of 51

$218

$44.67 physician + $174 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.