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Open Drainage of an Abscess in the Abdomen

South Dakota 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?

$2,570

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $1,995 to $3,090.

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 $2,138 · 10th to 90th $1,288 to $4,365Professionalmedian $2,630 · 10th to 90th $1,778 to $3,236
$1.0K$2.0K$5.0Kfacility $2,138professional $2,630

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
$1,548.82
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,089.30
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,548.13
Typical High
$3,548.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$3,090.30
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota 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.

South Dakota $2,570 · 31st 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.