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Needle Drainage of Abscess or Cyst

South Dakota 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?

$170

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $138 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 8 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$178$126 to $302
FacilityA hospital or hospital-owned outpatient department$138$75.86 to $813

How much rates vary

Facilitymedian $138 · 10th to 90th $76 to $3,715Professionalmedian $178 · 10th to 90th $93 to $347
$100.0$200.0$500.0$1.0K$2.0Kfacility $138professional $178

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
$75.86
Median
$75.86
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$47.86
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$602.56
Avera
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$295.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$302.00

Where South Dakota 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.

South Dakota $170 · 24th 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.