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Drainage Of A Deep Breast Abscess

Iowa 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?

$4,240

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $4,240 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $3,548 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$427 to $1,259
Facility feeThe hospital or surgery center$3,548$1,259 to $5,012

How much rates vary

Facilitymedian $3,548 · 10th to 90th $708 to $6,761Professionalmedian $692 · 10th to 90th $302 to $1,995
$500$1K$2K$5K$10Kfacility $3,548professional $692

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
$707.95
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$549.54
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,348.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$691.83
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,365.16
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,122.02

Where Iowa sits

The same service costs 6.6 times more in Maine than in North Dakota. 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

Iowa· 15th of 50

$4,240

$692 physician + $3,548 facility

ME $7,108ND $1,074

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.