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Drainage Of Deep Periurethral Abscess

Kentucky 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?

$2,801

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

Insurers have agreed to pay about $2,801 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $2,344 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$457$389 to $631
Facility feeThe hospital or surgery center$2,344$1,585 to $3,802

How much rates vary

Facilitymedian $2,344 · 10th to 90th $851 to $5,012Professionalmedian $457 · 10th to 90th $363 to $1,096
$500$1K$2K$5Kfacility $2,344professional $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
$478.63
Median
$1,288.25
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$588.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$4,897.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$776.25

Where Kentucky 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

Kentucky· 35th of 50

$2,801

$457 physician + $2,344 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.