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Sealing A Fluid Pocket With An Injected Solution

Virginia rates for HCPCS 49185

A needle or fine tube is passed through the skin into a pocket of fluid such as a cyst, a collection of lymph fluid, or a seroma left after surgery, with imaging used to guide it and contrast injected first to show the size and shape of the pocket. A solution is then injected that irritates the lining so the pocket scars down and stops refilling. It can be done wherever such a collection forms, not only in the abdomen or pelvis.

Rates data updated July 2026.

How much does Sealing A Fluid Pocket With An Injected Solution cost?

$2,152

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $2,152 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $1,175 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$977$138 to $1,445
Facility feeThe hospital or surgery center$1,175$166 to $2,754

How much rates vary

Facilitymedian $1,175 · 10th to 90th $132 to $5,623Professionalmedian $977 · 10th to 90th $117 to $1,905
$100$200$500$1K$2K$5K$10Kfacility $1,175professional $977

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
$169.82
Median
$2,691.53
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$870.96
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$794.33
Typical High
$2,041.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$524.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$354.81
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$2,137.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$870.96
Typical High
$2,089.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,513.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$1,148.15
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,737.80
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$741.31
Typical High
$1,862.09

Where Virginia sits

The same service costs 6.7 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Virginia· 42nd of 50

$2,152

$977 physician + $1,175 facility

NJ $6,366MD $947

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.