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Exchange Of A Drain Tube In An Abscess Or Cyst

Virginia 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?

$1,198

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

Insurers have agreed to pay about $1,198 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $708 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$81.28 to $708
Facility feeThe hospital or surgery center$708$100 to $1,995

How much rates vary

Facilitymedian $708 · 10th to 90th $79 to $5,248Professionalmedian $490 · 10th to 90th $69 to $955
$100$200$500$1K$2K$5K$10Kfacility $708professional $490

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
$120.23
Median
$1,905.46
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$489.78
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$426.58
Typical High
$954.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$69.18
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$165.96
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$691.83
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$288.40
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$181.97
Sentara
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$870.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,818.38
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$363.08
Typical High
$977.24

Where Virginia 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

Virginia· 41st of 50

$1,198

$490 physician + $708 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.