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Opening Bone To Drain Infection, Arm Or Elbow

Vermont rates for HCPCS 23935

Cuts down through the tissues of the upper arm or elbow and opens the hard outer shell of the bone so that pus or infected material trapped inside can drain out. It is done when an infection has taken hold within the bone itself rather than only in the soft tissue around it.

Rates data updated October 2026.

How much does Opening Bone To Drain Infection, Arm Or Elbow cost?

$832

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $617 to $933.

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 $1,698 · 10th to 90th $407 to $3,631Professionalmedian $759 · 10th to 90th $589 to $1,072
$200$500$1K$2Kfacility $1,698professional $759

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
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$933.25
Typical High
$933.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$707.95
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$724.44
Typical High
$1,230.27

Where Vermont sits

The same service costs 7.6 times more in Alaska than in Texas. 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· 19th of 51

$832

AK $2,138TX $282

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.