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Open Drainage of an Abscess Under the Diaphragm

Vermont 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 October 2026.

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

$1,413

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,202 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $1,413 · 10th to 90th $1,047 to $1,995
$500$1K$2Kfacility $776professional $1,413

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$1,698.24
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,570.40
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$2,041.74

Where Vermont sits

The same service costs 24.5 times more in Alaska than in Texas. 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.

Vermont· 18th of 51

$1,413

AK $4,074TX $166

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.