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Exchange Of A Drain Tube In An Abscess Or Cyst

Ohio 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?

$2,438

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

Insurers have agreed to pay about $2,438 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $2,239 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$200$77.62 to $631
Facility feeThe hospital or surgery center$2,239$1,148 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $240 to $9,550Professionalmedian $200 · 10th to 90th $68 to $832
$50$200$1K$5Kfacility $2,239professional $200

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
$134.90
Median
$2,454.71
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$151.36
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$281.84
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$562.34
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$218.78
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$575.44
Typical High
$1,698.24
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$208.93
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$63.10
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$426.58
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,187.76
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$371.54
Typical High
$870.96

Where Ohio 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

Ohio· 18th of 50

$2,438

$200 physician + $2,239 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.