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Exchange Of A Drain Tube In An Abscess Or Cyst

New Jersey 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?

$5,213

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $5,213 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $4,786 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$427$72.44 to $676
Facility feeThe hospital or surgery center$4,786$3,090 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $389 to $10,471Professionalmedian $427 · 10th to 90th $65 to $1,072
$100$200$500$1K$2K$5K$10Kfacility $4,786professional $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
$380.19
Median
$4,677.35
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$426.58
Typical High
$851.14
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$251.19
Typical High
$1,148.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,122.02
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$6,165.95
Typical High
$10,000.00
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$549.54
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$416.87
Typical High
$1,023.29

Where New Jersey 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

New Jersey· 2nd of 50

$5,213

$427 physician + $4,786 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.