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Open Drainage of an Abscess Under the Diaphragm

Colorado 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?

$5,495

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $1,549 to $9,550.

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 $5,495 · 10th to 90th $1,122 to $12,882Professionalmedian $1,349 · 10th to 90th $955 to $3,236
$1K$2K$5K$10K$20Kfacility $5,495professional $1,349

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$5,370.32
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$3,235.94
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,760.83
Typical High
$10,715.19

Where Colorado 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.

Colorado· 10th of 50

$5,495

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.