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Drainage of Vulvar or Perineal Abscess

Iowa rates for HCPCS 56405

An incision is made to drain a collection of pus (abscess) from the vulva or the surrounding perineal area, relieving pain and pressure from the infection. The area is typically numbed first and may be packed with gauze afterward to keep it draining.

Rates data updated July 2026.

How much does Drainage of Vulvar or Perineal Abscess cost?

$257

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $2,138 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$240$141 to $457
FacilityA hospital or hospital-owned outpatient department$2,138$324 to $4,266

How much rates vary

Facilitymedian $2,138 · 10th to 90th $178 to $6,761Professionalmedian $240 · 10th to 90th $112 to $708
$100$200$500$1K$2K$5K$10Kfacility $2,138professional $240

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
$177.83
Median
$3,090.30
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$346.74

Where Iowa sits

The same service costs 3.2 times more in Alaska than in Washington, DC. 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.

Iowa· 8th of 51

$257

AK $417DC $129

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.