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Drainage Of Deep Periurethral Abscess

Illinois rates for HCPCS 53040

Surgically drains a deep abscess -- a collection of pus -- located next to the urethra. Draining the abscess relieves pressure and clears the infection.

Rates data updated July 2026.

How much does Drainage Of Deep Periurethral Abscess cost?

$2,442

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

Insurers have agreed to pay about $2,442 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $1,905 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$398 to $759
Facility feeThe hospital or surgery center$1,905$1,148 to $4,365

How much rates vary

Facilitymedian $1,905 · 10th to 90th $724 to $5,888Professionalmedian $537 · 10th to 90th $380 to $1,047
$200$500$1K$2K$5K$10Kfacility $1,905professional $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
$602.56
Median
$1,737.80
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,128.61
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$776.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,737.80
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$891.25

Where Illinois sits

The same service costs 10.5 times more in Wyoming than in West Virginia. 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

Illinois· 38th of 50

$2,442

$537 physician + $1,905 facility

WY $8,199WV $780

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.