Pelvic Fluid Drainage Through the Vagina or Rectum

Nationwide rates for HCPCS 49407

Drains an abscess or other trapped fluid collection in the abdomen or pelvis by placing a catheter through the wall of the vagina or the rectum, guided by imaging. Reaching the collection this way avoids passing a needle through bowel or other organs when the pocket sits deep in the pelvis. The catheter stays in until drainage stops.

Rates data updated July 2026.

How much does Pelvic Fluid Drainage Through the Vagina or Rectum cost?

$3,783

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,783 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $2,951 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

22% physician fee78% facility fee

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 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$832	$275 to $1,230
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,951	$933 to $5,754

How much rates vary

Facilitymedian $2,951 · 10th to 90th $302 to $8,913Professionalmedian $832 · 10th to 90th $186 to $1,862

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $602.56 Median $3,715.35 Typical High $10,715.19	Facility	Global	$602.56	$3,715.35	$10,715.19
BCBS Setting Facility Modifier Global Typical Low $1,819.70 Median $5,248.07 Typical High $12,022.64	Facility	Global	$1,819.70	$5,248.07	$12,022.64
Cigna Setting Facility Modifier Global Typical Low $323.59 Median $831.76 Typical High $2,691.53	Facility	Global	$323.59	$831.76	$2,691.53
United Setting Facility Modifier Global Typical Low $660.69 Median $2,511.89 Typical High $6,025.60	Facility	Global	$660.69	$2,511.89	$6,025.60

What it costs in each state

The same service costs 4.9 times more in Nebraska 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

Touch or drag across the chart to see any state's rate.

NE $7,546MD $1,527

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.