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Open Drainage of an Abscess in the Abdomen

Pennsylvania 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?

$5,012

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $1,778 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,096 to $8,710
$500$1K$2K$5K$10K$20Kfacility $5,012

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
$1,412.54
Median
$6,165.95
Typical High
$8,709.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,290.87
Typical High
$36,307.81
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
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,370.32
Typical High
$10,000.00
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,344.23
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57

Where Pennsylvania 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.

Pennsylvania· 15th of 50

$5,012

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.