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Opening And Draining A Pancreatic Cyst

New Jersey 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?

$1,318

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $6,918 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 5 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 $1,660
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,413 to $11,749Professionalmedian $1,230 · 10th to 90th $977 to $2,512
$1K$2K$5K$10Kfacility $6,918professional $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
$1,995.26
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,290.87
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$2,511.89

Where New Jersey 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.

New Jersey· 30th of 51

$1,318

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.