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Drainage Of Deep Periurethral Abscess

South Dakota 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?

$1,723

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,723 for this procedure. That total is two separate charges: $676 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$427 to $912
Facility feeThe hospital or surgery center$1,047$575 to $3,090

How much rates vary

Facilitymedian $1,047 · 10th to 90th $490 to $4,365Professionalmedian $676 · 10th to 90th $339 to $1,148
$500$1K$2K$5Kfacility $1,047professional $676

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$707.95
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$1,096.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$891.25

Where South Dakota 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

South Dakota· 46th of 50

$1,723

$676 physician + $1,047 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.