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Opening And Draining A Pancreatic Cyst

New York 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?

$1,549

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,380 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 9 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$1,380$1,096 to $1,995
FacilityA hospital or hospital-owned outpatient department$4,898$2,692 to $7,762

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,445 to $11,482Professionalmedian $1,380 · 10th to 90th $977 to $3,388
$500$1K$2K$5K$10Kfacility $4,898professional $1,380

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
$1,318.26
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$2,137.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$2,238.72
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,621.81
Typical High
$4,168.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,691.53
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$2,398.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,548.82
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$7,244.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$3,801.89
Univera
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,445.44
Typical High
$2,884.03

Where New York 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 York· 15th of 51

$1,549

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.