go back

Injection Into A Draining Sinus Tract

Massachusetts rates for HCPCS 20500

Injection of medication directly into an abnormal narrow channel that runs from an internal area, such as a chronic infection or abscess, out through the skin surface. This is done to help treat the underlying condition, such as a persistent infection.

Rates data updated July 2026.

How much does Injection Into A Draining Sinus Tract cost?

$155

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,288 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$155$105 to $240
FacilityA hospital or hospital-owned outpatient department$1,288$107 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $98 to $3,715Professionalmedian $155 · 10th to 90th $87 to $339
$100$200$500$1K$2K$5Kfacility $1,288professional $155

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
$97.72
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$275.42
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,949.84
Typical High
$4,786.30
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$338.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$229.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$331.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,949.84
Typical High
$4,786.30
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$354.81

Where Massachusetts sits

The same service costs 4.7 times more in California than in Kentucky. 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.

Massachusetts· 15th of 51

$155

CA $490KY $105

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.