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Drainage of Abscess Within the Rectal Wall

North Carolina rates for HCPCS 45005

This procedure opens and drains a pocket of infected fluid, called an abscess, that has formed within the wall of the rectum itself, just beneath its inner lining, rather than in the surrounding tissue. Draining the abscess relieves pressure and pain and allows the infection to begin healing. It is a common treatment for this type of infection when it has formed a distinct pocket rather than spreading diffusely through the tissue.

Rates data updated July 2026.

How much does Drainage of Abscess Within the Rectal Wall cost?

$656

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $656 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $347 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$224 to $457
Facility feeThe hospital or surgery center$347$229 to $646

How much rates vary

Facilitymedian $347 · 10th to 90th $170 to $4,169Professionalmedian $309 · 10th to 90th $166 to $724
$200$500$1K$2K$5Kfacility $347professional $309

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
$251.19
Median
$3,890.45
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$758.58
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$436.52
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,691.53

Where North Carolina sits

The same service costs 30.1 times more in Maine 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.

Physician feeFacility fee

North Carolina· 45th of 50

$656

$309 physician + $347 facility

ME $16,196WV $538

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.