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Injection Into A Draining Sinus Tract

Virginia 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?

$132

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $219 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 8 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$126$95.50 to $174
FacilityA hospital or hospital-owned outpatient department$219$120 to $3,631

How much rates vary

Facilitymedian $219 · 10th to 90th $95 to $5,888Professionalmedian $126 · 10th to 90th $85 to $257
$50.0$200.0$1.0K$5.0Kfacility $219professional $126

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
$120.23
Median
$2,818.38
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Sentara
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$3,388.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$213.80

Where Virginia 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.

Virginia $132 · 28th 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.