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Injection Into A Draining Sinus Tract

Vermont 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 October 2026.

How much does Injection Into A Draining Sinus Tract cost?

$162

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $132 to $214.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $182 · 10th to 90th $50 to $1,259Professionalmedian $162 · 10th to 90th $110 to $229
$100$200$500$1Kfacility $182professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$114.82
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$162.18
Typical High
$229.09
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$147.91
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$162.18
Typical High
$263.03

Where Vermont sits

The same service costs 4.0 times more in Alaska than in Florida. 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.

Vermont· 14th of 51

$162

AK $363FL $91.20

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.