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Exchange Of A Drain Tube In An Abscess Or Cyst

North Dakota 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?

$1,138

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $1,138 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $589 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$132 to $1,096
Facility feeThe hospital or surgery center$589$72.44 to $794

How much rates vary

Facilitymedian $589 · 10th to 90th $65 to $1,995Professionalmedian $550 · 10th to 90th $72 to $1,380
$100$200$500$1K$2K$5Kfacility $589professional $550

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
$64.57
Median
$588.84
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$537.03
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$588.84
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$562.34
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$354.81
Typical High
$1,122.02

Where North Dakota 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 Dakota· 43rd of 50

$1,138

$550 physician + $589 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.