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Nationwide rates for HCPCS 45005

Incision and drainage of submucosal abscess, rectum

Facilitymedian $2,692 · 10th–90th $251–$8,3180%10%10th90th$2,692Professionalmedian $295 · 10th–90th $158–$6030%20%10th90th$295$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $3,235.94 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $281.84 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,168.69 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $269.15 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $812.83 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,398.83 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $281.84 / $588.84

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