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Exchange Of A Drain Tube In An Abscess Or Cyst

North Carolina 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 North Carolina, 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$107 to $794
Facility feeThe hospital or surgery center$631$107 to $1,175

How much rates vary

Facilitymedian $631 · 10th to 90th $71 to $4,467Professionalmedian $363 · 10th to 90th $79 to $1,380
$100$200$500$1K$2K$5Kfacility $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
Facility
Modifier
Global
Typical Low
$70.79
Median
$933.25
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$537.03
Typical High
$1,148.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$363.08
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$213.80
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$281.84
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$1,548.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$398.11
Typical High
$851.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$5,011.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,677.35

Where North Carolina 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

North Carolina· 49th 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.