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Injection Into A Draining Sinus Tract

New Mexico 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?

$112

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $162 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$107$87.10 to $151
FacilityA hospital or hospital-owned outpatient department$162$123 to $562

How much rates vary

Facilitymedian $162 · 10th to 90th $85 to $3,236Professionalmedian $107 · 10th to 90th $83 to $288
$20.0$100.0$500.0$2.0Kfacility $162professional $107

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
$128.82
Median
$204.17
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$104.71
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,630.78
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$218.78

Where New Mexico 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.

New Mexico $112 · 48th 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.