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Drainage Of Deep Periurethral Abscess

West Virginia 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?

$780

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $780 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $363 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$389 to $447
Facility feeThe hospital or surgery center$363$363 to $1,413

How much rates vary

Facilitymedian $363 · 10th to 90th $363 to $1,622Professionalmedian $417 · 10th to 90th $363 to $617
$500$1K$2K$5K$10Kfacility $363professional $417

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
$363.08
Median
$363.08
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$446.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$776.25

Where West Virginia 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

West Virginia· 50th of 50

$780

$417 physician + $363 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.