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Exchange Of A Drain Tube In An Abscess Or Cyst

Illinois 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?

$2,225

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

Insurers have agreed to pay about $2,225 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $1,778 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$81.28 to $692
Facility feeThe hospital or surgery center$1,778$933 to $3,236

How much rates vary

Facilitymedian $1,778 · 10th to 90th $178 to $5,495Professionalmedian $447 · 10th to 90th $69 to $933
$100$200$500$1K$2K$5K$10Kfacility $1,778professional $447

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
$134.90
Median
$1,621.81
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$363.08
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,344.23
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$346.74
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$218.78
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$741.31
Typical High
$1,047.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,089.30
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$389.05
Typical High
$1,000.00

Where Illinois 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

Illinois· 25th of 50

$2,225

$447 physician + $1,778 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.