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Drainage Of Deep Periurethral Abscess

Ohio 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?

$3,835

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

Insurers have agreed to pay about $3,835 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $3,388 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$447$380 to $631
Facility feeThe hospital or surgery center$3,388$1,950 to $5,248

How much rates vary

Facilitymedian $3,388 · 10th to 90th $776 to $10,715Professionalmedian $447 · 10th to 90th $347 to $3,715
$50$200$1K$5Kfacility $3,388professional $447

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
$741.31
Median
$3,715.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$776.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$537.03
Typical High
$776.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$524.81
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$776.25

Where Ohio 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

Ohio· 29th of 50

$3,835

$447 physician + $3,388 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.