go back

Drainage Of Deep Periurethral Abscess

North Carolina 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?

$2,082

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,082 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $1,479 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$603$417 to $832
Facility feeThe hospital or surgery center$1,479$617 to $6,761

How much rates vary

Facilitymedian $1,479 · 10th to 90th $380 to $8,710Professionalmedian $603 · 10th to 90th $380 to $1,175
$500$1K$2K$5K$10Kfacility $1,479professional $603

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
$380.19
Median
$1,659.59
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$912.01
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$4,897.79

Where North Carolina 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

North Carolina· 44th of 50

$2,082

$603 physician + $1,479 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.