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Complicated Drainage Of Prostate Abscess

South Dakota rates for HCPCS 55725

Surgical drainage of an abscess, a walled-off pocket of pus, within the prostate gland. The surgeon makes an opening into the gland so the infected fluid can escape, and a drain may be left in place. This is the more involved version of the operation, used where the abscess is harder to reach or clear.

Rates data updated July 2026.

How much does Complicated Drainage Of Prostate Abscess cost?

$1,096

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,698 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$646 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,698$776 to $3,090

How much rates vary

Facilitymedian $1,698 · 10th to 90th $708 to $4,365Professionalmedian $1,072 · 10th to 90th $501 to $1,738
$1K$2K$5Kfacility $1,698professional $1,072

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
$602.56
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,071.52
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,174.90
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
$588.84
Median
$1,202.26
Typical High
$1,659.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$1,348.96

Where South Dakota sits

The same service costs 5.5 times more in California than in Delaware. 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.

South Dakota· 18th of 51

$1,096

CA $3,548DE $646

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.