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Exchange Of A Drain Tube In An Abscess Or Cyst

South Carolina 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?

$1,010

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $1,010 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $851 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$158$81.28 to $646
Facility feeThe hospital or surgery center$851$138 to $3,981

How much rates vary

Facilitymedian $851 · 10th to 90th $83 to $7,943Professionalmedian $158 · 10th to 90th $68 to $851
$100$500$2K$10Kfacility $851professional $158

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
$83.18
Median
$3,981.07
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$151.36
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,890.45
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$144.54
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$213.80
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$870.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$263.03
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,888.44
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$275.42
Typical High
$912.01

Where South Carolina 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

South Carolina· 47th of 50

$1,010

$158 physician + $851 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.