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Open Drainage of an Abscess Under the Diaphragm

North Carolina 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?

$1,259

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $1,000 to $1,698.

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 $1,259 · 10th to 90th $912 to $3,715Professionalmedian $1,413 · 10th to 90th $1,413 to $1,413
$500$1K$2K$5Kfacility $1,259professional $1,413

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
$3,235.94
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,309.57
Typical High
$6,309.57

Where North Carolina 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.

North Carolina· 44th of 50

$1,259

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.