go back

Exchange Of A Drain Tube In An Abscess Or Cyst

Pennsylvania 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?

$2,608

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

Insurers have agreed to pay about $2,608 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $2,399 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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$209$75.86 to $631
Facility feeThe hospital or surgery center$2,399$676 to $3,981

How much rates vary

Facilitymedian $2,399 · 10th to 90th $269 to $7,244Professionalmedian $209 · 10th to 90th $68 to $741
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $209

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
$269.15
Median
$2,398.83
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$199.53
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$58.88
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$23,442.29
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$72.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$1,288.25
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$194.98
Typical High
$933.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,122.02
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,548.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$575.44
Typical High
$891.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,011.87
Typical High
$8,912.51
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$95.50
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,988.33
Typical High
$30,199.52
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$72.44
Typical High
$91.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$2,630.27
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$467.74
Typical High
$1,047.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$1,348.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$2,884.03
Typical High
$5,754.40
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$354.81
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$380.19
Typical High
$851.14

Where Pennsylvania 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

Pennsylvania· 17th of 50

$2,608

$209 physician + $2,399 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.