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Exchange Of A Drain Tube In An Abscess Or Cyst

Michigan 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?

$2,157

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

Insurers have agreed to pay about $2,157 for this procedure. That total is two separate charges: $115 to the doctor who performs it, and $2,042 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$115$77.62 to $631
Facility feeThe hospital or surgery center$2,042$759 to $3,236

How much rates vary

Facilitymedian $2,042 · 10th to 90th $95 to $4,898Professionalmedian $115 · 10th to 90th $68 to $724
$100$200$500$1K$2K$5Kfacility $2,042professional $115

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
$95.50
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$147.91
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$18.62
Typical High
$18.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$281.84
Typical High
$977.24
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,513.56
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$549.54
Typical High
$891.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$549.54
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,951.21
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$446.68
Typical High
$851.14

Where Michigan 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

Michigan· 26th of 50

$2,157

$115 physician + $2,042 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.