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Needle Drainage of Abscess or Cyst

Virginia 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?

$151

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $468 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$138$107 to $191
FacilityA hospital or hospital-owned outpatient department$468$166 to $2,344

How much rates vary

Facilitymedian $468 · 10th to 90th $117 to $5,248Professionalmedian $138 · 10th to 90th $93 to $234
$100$200$500$1K$2K$5K$10Kfacility $468professional $138

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
$144.54
Median
$676.08
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$67.61
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$213.80

Where Virginia sits

The same service costs 3.0 times more in Alaska than in Delaware. 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· 33rd of 51

$151

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.