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Exchange Of A Drain Tube In An Abscess Or Cyst

Kentucky 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?

$2,267

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

Insurers have agreed to pay about $2,267 for this procedure. That total is two separate charges: $178 to the doctor who performs it, and $2,089 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$178$69.18 to $562
Facility feeThe hospital or surgery center$2,089$1,096 to $3,548

How much rates vary

Facilitymedian $2,089 · 10th to 90th $132 to $4,365Professionalmedian $178 · 10th to 90th $62 to $724
$100$200$500$1K$2K$5Kfacility $2,089professional $178

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
$128.82
Median
$1,000.00
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$363.08
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$123.03
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$549.54
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$371.54
Typical High
$870.96

Where Kentucky 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

Kentucky· 23rd of 50

$2,267

$178 physician + $2,089 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.