go back

Exchange Of A Drain Tube In An Abscess Or Cyst

Montana 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?

$994

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

Insurers have agreed to pay about $994 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $631 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$363$72.44 to $646
Facility feeThe hospital or surgery center$631$120 to $977

How much rates vary

Facilitymedian $631 · 10th to 90th $105 to $1,148Professionalmedian $363 · 10th to 90th $66 to $1,000
$100$1K$10Kfacility $631professional $363

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
Professional
Modifier
Global
Typical Low
$64.57
Median
$363.08
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$338.84
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$912.01
Typical High
$1,071.52
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$912.01
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$562.34
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$288.40
Typical High
$1,071.52

Where Montana 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

Montana· 48th of 50

$994

$363 physician + $631 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.