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Exchange Of A Drain Tube In An Abscess Or Cyst

Utah 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?

$3,488

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

Insurers have agreed to pay about $3,488 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $2,951 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$537$93.33 to $871
Facility feeThe hospital or surgery center$2,951$1,820 to $3,981

How much rates vary

Facilitymedian $2,951 · 10th to 90th $741 to $4,571Professionalmedian $537 · 10th to 90th $65 to $1,148
$100$200$500$1K$2K$5Kfacility $2,951professional $537

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
$741.31
Median
$2,951.21
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$537.03
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$302.00
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$1,071.52
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$676.08
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$457.09
Typical High
$870.96

Where Utah 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

Utah· 11th of 50

$3,488

$537 physician + $2,951 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.