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Open Drainage of an Abscess Under the Diaphragm

New York 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?

$4,786

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,630 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,259 to $11,482
$1K$2K$5K$10Kfacility $4,786

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
$1,174.90
Median
$3,019.95
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$1,778.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$3,715.35
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$3,388.44

Where New York 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.

New York· 15th of 50

$4,786

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.