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Complicated Drainage Of A Pilonidal Cyst

California rates for HCPCS 10081

Opens and drains an infected pilonidal cyst — a painful pocket that forms in the cleft at the top of the buttocks, usually around trapped hair. This is the more involved version, used when the abscess is large, has several pockets or extra openings, or needs a wider opening and packing of the cavity. The wound is often left open to heal gradually from the base up.

Rates data updated July 2026.

How much does Complicated Drainage Of A Pilonidal Cyst cost?

$5,248

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $3,236 to $7,762.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,202 to $13,490Professionalmedian $398 · 10th to 90th $174 to $741
$100$500$2K$10Kfacility $5,495professional $398

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
$691.83
Median
$4,786.30
Typical High
$15,848.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,888.44
Typical High
$13,489.63
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,162.28
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$398.11
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,951.21
Typical High
$7,943.28

Where California sits

The same service costs 17.0 times more in California than in North Dakota. 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.

California· 1st of 50

$5,248

CA $5,248ND $309

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.