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Complex Abscess Drainage

California rates for HCPCS D7511

A surgical procedure to drain a dental infection that has spread beyond a single, easily reached pocket of pus into deeper or multiple areas of tissue. It typically involves a more extensive incision and sometimes a small drain to keep the area open, and is used for infections that are more serious than a simple, localized abscess.

Rates data updated October 2026.

How much does Complex Abscess Drainage cost?

$170

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $123 to $891.

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.

How much rates vary

Facilitymedian $182 · 10th to 90th $170 to $257Professionalmedian $170 · 10th to 90th $87 to $1,175
$100$200$500$1Kfacility $182professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$169.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$169.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$117.49
Median
$128.82
Typical High
$138.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$25.70
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$16.98
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$186.21
Typical High
$199.53
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$123.03
Typical High
$245.47
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$263.03
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$144.54
Typical High
$194.98

Where California sits

The same service costs 16.2 times more in Minnesota than in New Jersey. 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.

California· 25th of 51

$170

MN $1,479NJ $91.20

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.