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Drainage of a Deep Abscess Near the Rectum

Virginia rates for HCPCS 45020

Opens and drains a pocket of pus lying deep above or behind the rectum, higher up than the muscular floor of the pelvis. The surgeon cuts down to the collection, lets the pus out, washes the cavity, and often leaves a drain so it keeps emptying. An abscess in this position causes severe pain and can spread dangerously if left alone.

Rates data updated July 2026.

How much does Drainage of a Deep Abscess Near the Rectum cost?

$891

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $646 to $3,467.

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.

How much rates vary

Facilitymedian $912 · 10th to 90th $537 to $6,918Professionalmedian $631 · 10th to 90th $437 to $933
$500$1K$2K$5K$10Kfacility $912professional $631

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
$676.08
Median
$3,630.78
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,288.25
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$831.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,096.48
Sentara
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,884.03
Typical High
$5,754.40

Where Virginia sits

The same service costs 11.7 times more in Indiana than in North Dakota. 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.

Virginia· 43rd of 50

$891

IN $6,607ND $562

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.