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Exchange Of A Drain Tube In An Abscess Or Cyst

South Dakota 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?

$1,126

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

Insurers have agreed to pay about $1,126 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $537 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$589$132 to $1,072
Facility feeThe hospital or surgery center$537$112 to $1,288

How much rates vary

Facilitymedian $537 · 10th to 90th $79 to $2,291Professionalmedian $589 · 10th to 90th $65 to $1,380
$100$200$500$1K$2Kfacility $537professional $589

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
$72.44
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$537.03
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$302.00
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$676.08
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$537.03
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$1,412.54

Where South Dakota 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 Dakota· 44th of 50

$1,126

$589 physician + $537 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.