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Draining a Pelvic Abscess Through the Rectum

North Carolina rates for HCPCS 45000

Drains a pocket of pus sitting in the pelvis by going through the wall of the rectum, so the collection empties into the bowel instead of through a cut in the abdomen or skin. The surgeon locates the bulging abscess through the rectum, opens into it, and lets it drain. It avoids an abdominal incision entirely.

Rates data updated July 2026.

How much does Draining a Pelvic Abscess Through the Rectum cost?

$575

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $437 to $1,096.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $575 · 10th to 90th $398 to $4,467Professionalmedian $513 · 10th to 90th $513 to $513
$500$1K$2K$5Kfacility $575professional $513

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,659.59
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$758.58
Typical High
$1,230.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$19,498.45

Where North Carolina sits

The same service costs 14.5 times more in Indiana than in West Virginia. 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.

North Carolina· 46th of 50

$575

IN $6,166WV $427

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.