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Open Drainage of an Abscess in the Abdomen

Illinois 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?

$3,020

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $1,738 to $5,248.

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.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,148 to $9,772Professionalmedian $2,884 · 10th to 90th $1,585 to $6,026
$200$500$1K$2K$5K$10K$20Kfacility $3,020professional $2,884

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
$1,148.15
Median
$3,019.95
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$18,620.87
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,884.03
Typical High
$6,025.60
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,754.23
Typical High
$7,413.10

Where Illinois sits

The same service costs 95.5 times more in Maine than in West Virginia. 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.

Illinois· 26th of 50

$3,020

ME $13,183WV $138

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.