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Drainage Of A Deep Breast Abscess

Washington, DC rates for HCPCS 19020

This is a surgical procedure that opens the breast tissue to explore and drain a pocket of infection, or abscess, that sits deep within the breast rather than just under the skin. An incision is made to reach and empty the infected area, relieving pain and helping the infection resolve. It's a more involved procedure than draining a superficial infection.

Rates data updated July 2026.

How much does Drainage Of A Deep Breast Abscess cost?

$490

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $324 to $1,698.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $324 to $7,762Professionalmedian $479 · 10th to 90th $316 to $646
$200$500$1K$2K$5K$10K$20Kfacility $3,981professional $479

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
$323.59
Median
$3,548.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$489.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$2,041.74
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$588.84
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$7,585.78
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$630.96
Typical High
$1,122.02

Where Washington, DC sits

The same service costs 5.0 times more in Hawaii than in Rhode Island. 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.

Washington, DC· 36th of 51

$490

HI $1,905RI $380

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.