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Exchange Of A Drain Tube In An Abscess Or Cyst

Hawaii rates for HCPCS 49423

An existing drainage tube sitting in an abscess or a cyst is swapped for a new one over a guidewire, with X-ray imaging used to hold the track and confirm the replacement sits correctly. It is done when the tube blocks, cracks or starts to slip out, or when a long-standing drain is due for routine replacement. A working tube is left in place at the end, so this is a swap rather than a removal, and the collection can be anywhere in the body.

Rates data updated July 2026.

How much does Exchange Of A Drain Tube In An Abscess Or Cyst cost?

$490

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $72.44 to $631.

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 $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $490 · 10th to 90th $66 to $813
$100$200$500$1K$2Kfacility $2,884professional $490

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$398.11
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$575.44
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$616.60
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$512.86
Typical High
$851.14
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$891.25
Typical High
$3,981.07

Where Hawaii sits

The same service costs 4.4 times more in New York than in Michigan. 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.

Hawaii· 35th of 51

$490

NY $646MI $148

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.