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Complicated Drainage Of A Pilonidal Cyst

Virginia 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?

$617

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $309 to $3,236.

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.

How much rates vary

Facilitymedian $617 · 10th to 90th $200 to $5,370Professionalmedian $447 · 10th to 90th $347 to $550
$200$500$1K$2K$5K$10Kfacility $617professional $447

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$812.83
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,949.84
Typical High
$3,890.45

Where Virginia 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.

Virginia· 42nd of 50

$617

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.