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Drainage of a Deep Abscess Near the Rectum

West 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?

$575

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $575 to $1,413.

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 $575 · 10th to 90th $575 to $1,622
$500$1K$2K$5Kfacility $575

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
$575.44
Median
$575.44
Typical High
$1,621.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,584.89
Typical High
$7,762.47

Where West 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.

West Virginia· 49th of 50

$575

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.