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Drainage Of A Complex Infection After Surgery

New Jersey rates for HCPCS 10180

This procedure surgically opens and drains an infection that has developed in a surgical wound after an operation, addressing a more complicated infection than a simple, single-pocket abscess. It may involve exploring and cleaning multiple areas of infected tissue near the original surgical site.

Rates data updated July 2026.

How much does Drainage Of A Complex Infection After Surgery cost?

$6,112

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,112 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $5,888 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$162 to $316
Facility feeThe hospital or surgery center$5,888$3,631 to $7,762

How much rates vary

Facilitymedian $5,888 · 10th to 90th $468 to $10,715Professionalmedian $224 · 10th to 90th $148 to $977
$200$500$1K$2K$5K$10Kfacility $5,888professional $224

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
$371.54
Median
$5,754.40
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$5,248.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$467.74
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$9,120.11
Typical High
$13,182.57
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$407.38

Where New Jersey sits

The same service costs 16.9 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

New Jersey· 5th of 51

$6,112

$224 physician + $5,888 facility

IN $8,914MD $526

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.