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Injection Into A Draining Sinus Tract

South Dakota 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?

$178

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $195 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 7 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$174$112 to $245
FacilityA hospital or hospital-owned outpatient department$195$151 to $275

How much rates vary

Facilitymedian $195 · 10th to 90th $117 to $2,291Professionalmedian $174 · 10th to 90th $89 to $295
$100.0$200.0$500.0$1.0K$2.0Kfacility $195professional $174

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
$87.10
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$229.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$331.13

Where South Dakota 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.

South Dakota $178 · 9th 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.