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Exchange Of A Drain Tube In An Abscess Or Cyst

Washington 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?

$1,504

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

Insurers have agreed to pay about $1,504 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $1,047 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$93.33 to $871
Facility feeThe hospital or surgery center$1,047$174 to $1,698

How much rates vary

Facilitymedian $1,047 · 10th to 90th $107 to $6,457Professionalmedian $457 · 10th to 90th $71 to $1,318
$50$200$1K$5K$20Kfacility $1,047professional $457

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
$134.90
Median
$1,513.56
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$457.09
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$181.97
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$10,471.29
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$776.25
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$870.96
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$309.03
Typical High
$1,513.56
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$741.31
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$489.78
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$1,148.15
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,230.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$794.33
Typical High
$1,479.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$776.25
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$5,495.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$489.78
Typical High
$1,202.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$524.81
Typical High
$812.83

Where Washington 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

Washington· 37th of 50

$1,504

$457 physician + $1,047 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.