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Injection Into A Draining Sinus Tract

New York 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 New York, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $3,548 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 9 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$123$100 to $174
FacilityA hospital or hospital-owned outpatient department$3,548$1,622 to $5,623

How much rates vary

Facilitymedian $3,548 · 10th to 90th $126 to $8,318Professionalmedian $123 · 10th to 90th $85 to $316
$100.0$1.0K$10.0Kfacility $3,548professional $123

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
$112.20
Median
$2,630.27
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$269.15
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$446.68
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$97.72
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$288.40
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$165.96
Typical High
$263.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,467.37
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$147.91
Typical High
$331.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$426.58
Univera
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$263.03

Where New York 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 York $151 · 19th 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.