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Simple Drainage Of A Tailbone-Area Cyst

West Virginia rates for HCPCS 10080

This procedure surgically opens and drains a cyst that has formed near the tailbone, at the base of the spine, when the cyst is infected or causing a simple, uncomplicated abscess. It relieves pressure and pain by draining the trapped fluid or pus. It's a more limited version compared to treatment of a more complicated case.

Rates data updated July 2026.

How much does Simple Drainage Of A Tailbone-Area Cyst cost?

$219

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $575 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$148 to $229
FacilityA hospital or hospital-owned outpatient department$575$355 to $1,622

How much rates vary

Facilitymedian $575 · 10th to 90th $229 to $1,862Professionalmedian $214 · 10th to 90th $98 to $490
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $575professional $214

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
$229.09
Median
$575.44
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$489.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$229.09
Typical High
$1,288.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,621.81
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$263.03

Where West Virginia sits

The same service costs 7.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $219 · 37th of 51
HI $1,148DC $155

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.