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Exchange Of A Drain Tube In An Abscess Or Cyst

Iowa 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?

$2,651

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

Insurers have agreed to pay about $2,651 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $2,138 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$513$102 to $851
Facility feeThe hospital or surgery center$2,138$575 to $3,802

How much rates vary

Facilitymedian $2,138 · 10th to 90th $117 to $6,457Professionalmedian $513 · 10th to 90th $69 to $1,380
$100$200$500$1K$2K$5K$10Kfacility $2,138professional $513

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
$138.04
Median
$2,570.40
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$398.11
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$346.74
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$630.96
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$724.44
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,096.48
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$1,122.02
Typical High
$1,621.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,071.52
Typical High
$1,698.24
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$151.36
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$489.78
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$1,348.96

Where Iowa sits

The same service costs 6.6 times more in Indiana 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

Iowa· 16th of 50

$2,651

$513 physician + $2,138 facility

IN $6,365MD $968

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.