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Injection Into A Draining Sinus Tract

North Carolina 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?

$151

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $214 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 6 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$148$110 to $224
FacilityA hospital or hospital-owned outpatient department$214$123 to $1,862

How much rates vary

Facilitymedian $214 · 10th to 90th $93 to $5,248Professionalmedian $148 · 10th to 90th $85 to $295
$50.0$200.0$1.0K$5.0Kfacility $214professional $148

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
$117.49
Median
$933.25
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$204.17
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$1,479.11

Where North Carolina sits

The same service costs 4.7 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $151 · 20th of 51
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.