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Open Drainage of an Abscess Under the Diaphragm

California rates for HCPCS 49040

Drains a pocket of pus that has collected just beneath the diaphragm, the breathing muscle separating the chest from the abdomen, through a surgical incision. The cavity is washed out and a drain is usually left in place. Such collections often follow abdominal surgery, a burst organ, or infection spreading within the abdomen.

Rates data updated July 2026.

How much does Open Drainage of an Abscess Under the Diaphragm cost?

$10,965

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $10,965 for this service. Most negotiated rates run $4,898 to $16,596.

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 $11,749 · 10th to 90th $1,660 to $22,387Professionalmedian $1,047 · 10th to 90th $741 to $2,138
$100$500$2K$10Kfacility $11,749professional $1,047

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
$3,715.35
Median
$9,120.11
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$13,489.63
Typical High
$22,908.68
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$3,311.31
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$2,290.87
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$2,238.72
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$6,309.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,623.41
Typical High
$17,378.01

Where California sits

The same service costs 13.5 times more in Maine than in North Dakota. 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.

California· 3rd of 50

$10,965

ME $13,183ND $977

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.