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Open Drainage of an Abscess in the Abdomen

New York 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?

$4,898

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $2,884 to $7,762.

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.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,820 to $11,482
$100.0$1.0K$10.0K$100.0Kfacility $4,898

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
$1,819.70
Median
$3,019.95
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$2,630.27
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
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$4,073.80
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,073.80
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$4,677.35

Where New York sits

The same service costs 95.5 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $4,898 · 17th of 50
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.