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Needle Drainage of Abscess or Cyst

Illinois rates for HCPCS 10160

A needle is used to puncture and drain fluid from an abscess, cyst, blister, or blood-filled pocket under the skin, without making a larger incision. It's a quick way to relieve pressure and reduce swelling from a fluid-filled pocket.

Rates data updated July 2026.

How much does Needle Drainage of Abscess or Cyst cost?

$162

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $794 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 7 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$151$117 to $209
FacilityA hospital or hospital-owned outpatient department$794$331 to $1,622

How much rates vary

Facilitymedian $794 · 10th to 90th $120 to $4,467Professionalmedian $151 · 10th to 90th $89 to $363
$50.0$200.0$1.0K$5.0Kfacility $794professional $151

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
$120.23
Median
$794.33
Typical High
$4,677.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$44.67
Median
$87.10
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$354.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$251.19

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $162 · 27th of 51
AK $331DE $112

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.