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Exchange Of A Drain Tube In An Abscess Or Cyst

Massachusetts 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?

$1,715

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

Insurers have agreed to pay about $1,715 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $1,288 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$427$87.10 to $741
Facility feeThe hospital or surgery center$1,288$97.72 to $2,692

How much rates vary

Facilitymedian $1,288 · 10th to 90th $78 to $3,715Professionalmedian $427 · 10th to 90th $69 to $1,318
$100$200$500$1K$2K$5Kfacility $1,288professional $427

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
$588.84
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$363.08
Typical High
$851.14
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,479.11
Typical High
$5,011.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$549.54
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$457.09
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$239.88
Typical High
$1,348.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,202.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$562.34
Typical High
$1,380.38
Health New England
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Health New England
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,479.11
Typical High
$5,011.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$549.54
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,951.21
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$478.63
Typical High
$1,445.44

Where Massachusetts 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

Massachusetts· 32nd of 50

$1,715

$427 physician + $1,288 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.