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Opening And Draining A Pancreatic Cyst

Michigan rates for HCPCS 48500

Surgery that opens a fluid-filled sac on the pancreas and stitches its edges open so it drains continuously instead of filling up again. It is used for a cyst that keeps coming back, causes pain, or presses on nearby organs.

Rates data updated July 2026.

How much does Opening And Draining A Pancreatic Cyst cost?

$1,288

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $4,898 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$1,096 to $1,479
FacilityA hospital or hospital-owned outpatient department$4,898$2,138 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,479 to $6,918Professionalmedian $1,230 · 10th to 90th $1,047 to $1,698
$500$1K$2K$5K$10Kfacility $4,898professional $1,230

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
$1,479.11
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$1,698.24
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,348.96
Typical High
$2,630.27
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,235.94
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$1,698.24
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$3,311.31
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,995.26

Where Michigan sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

Michigan· 33rd of 51

$1,288

MN $2,630KY $1,148

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.