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Opening And Draining A Pancreatic Cyst

West Virginia 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?

$1,175

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,175 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 4 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$1,175$1,072 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,175$1,175 to $1,413

How much rates vary

Facilitymedian $1,175 · 10th to 90th $1,175 to $1,905Professionalmedian $1,175 · 10th to 90th $977 to $1,622
$50$100$200$500$1K$2K$5Kfacility $1,175professional $1,175

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
$1,174.90
Median
$1,174.90
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,479.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,513.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,819.70

Where West Virginia 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.

West Virginia· 49th of 51

$1,175

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.