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Drainage of Deep Rectal-Area Abscess

North Carolina rates for HCPCS 46040

A surgeon makes an incision to open and drain a pocket of infection (abscess) located in the deep tissue next to the rectum. The area is opened so pus can drain out, which relieves pain and pressure and lets the infection heal. This is a more involved procedure than draining a superficial abscess near the anus, since the infection sits deeper in the tissue.

Rates data updated July 2026.

How much does Drainage of Deep Rectal-Area Abscess cost?

$1,540

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

Insurers have agreed to pay about $1,540 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $832 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$513 to $1,047
Facility feeThe hospital or surgery center$832$550 to $4,467

How much rates vary

Facilitymedian $832 · 10th to 90th $427 to $7,079Professionalmedian $708 · 10th to 90th $417 to $1,514
$500$1K$2K$5K$10Kfacility $832professional $708

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
$549.54
Median
$3,715.35
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,659.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,023.29
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
$478.63
Median
$707.95
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$1,445.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$457.09
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
$354.81
Median
$501.19
Typical High
$891.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,786.30

Where North Carolina sits

The same service costs 6.7 times more in Maine than in Delaware. 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 51

$1,540

$708 physician + $832 facility

ME $7,740DE $1,159

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.