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Injection Into A Draining Sinus Tract

New Jersey 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?

$120

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $5,623 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 5 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$115$87.10 to $162
FacilityA hospital or hospital-owned outpatient department$5,623$3,890 to $7,244

How much rates vary

Facilitymedian $5,623 · 10th to 90th $209 to $10,471Professionalmedian $115 · 10th to 90th $79 to $407
$100$200$500$1K$2K$5K$10Kfacility $5,623professional $115

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
$165.96
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$218.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,786.30
Typical High
$6,918.31
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$257.04

Where New Jersey 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.

New Jersey· 41st of 51

$120

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.