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Open Drainage of an Abscess in the Abdomen

Nationwide rates for HCPCS 49020

Opens the abdomen to drain a walled-off pocket of pus inside the abdominal cavity and wash out the infected area. The surgeon finds the collection, releases the pus, cleans the space, and usually leaves a drain so any remaining fluid can escape. It is used when the infection cannot be drained with a needle through the skin.

Rates data updated July 2026.

How much does Open Drainage of an Abscess in the Abdomen cost?

$7,036

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,036 for this procedure. That total is two separate charges: $2,138 to the doctor who performs it, and $4,898 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 53 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,138$1,585 to $3,311
Facility feeThe hospital or surgery center$4,898$2,188 to $10,471

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,514 to $16,596Professionalmedian $2,138 · 10th to 90th $1,349 to $5,012
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $4,898professional $2,138

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
$1,445.44
Median
$4,365.16
Typical High
$11,748.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$10,471.29
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,630.27
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,818.38
Typical High
$9,549.93

What it costs in each state

The same service costs 6.3 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
CA $13,371MD $2,135

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.