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Additional Wound Cleaning (Debridement)

Virginia 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?

$309

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

Insurers have agreed to pay about $309 for this procedure. That total is two separate charges: $39.81 to the doctor who performs it, and $269 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$39.81$25.12 to $51.29
Facility feeThe hospital or surgery center$269$38.02 to $2,089

How much rates vary

Facilitymedian $269 · 10th to 90th $19 to $5,754Professionalmedian $40 · 10th to 90th $17 to $81
$10$100$1K$10Kfacility $269professional $40

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
$22.91
Median
$457.09
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$31.62
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$72.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$144.54
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$31.62
Typical High
$74.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$38.02
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$63.10
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$39.81
Typical High
$83.18

Where Virginia 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

Virginia· 33rd of 51

$309

$39.81 physician + $269 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.