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Injection Into A Draining Sinus Tract

West 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?

$110

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $115 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 4 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$110$93.33 to $120
FacilityA hospital or hospital-owned outpatient department$115$83.18 to $129

How much rates vary

Facilitymedian $115 · 10th to 90th $83 to $1,230Professionalmedian $110 · 10th to 90th $78 to $151
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $115professional $110

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
$83.18
Median
$114.82
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$114.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$1,230.27
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$208.93

Where West 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.

West Virginia $110 · 50th 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.