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Exchange Of A Drain Tube In An Abscess Or Cyst

New Mexico 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?

$1,071

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

Insurers have agreed to pay about $1,071 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $708 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$85.11 to $646
Facility feeThe hospital or surgery center$708$110 to $1,047

How much rates vary

Facilitymedian $708 · 10th to 90th $85 to $5,248Professionalmedian $363 · 10th to 90th $69 to $832
$50$200$1K$5Kfacility $708professional $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
$102.33
Median
$831.76
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$512.86
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,623.41
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$398.11
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$218.78
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$363.08
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$281.84
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,630.78
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$1,023.29

Where New Mexico 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 Mexico· 46th of 50

$1,071

$363 physician + $708 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.