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 Georgia, October 2026.
Insurers have agreed to pay about $170 for this service. Most negotiated rates run $151 to $200.
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 3 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $132 · 10th to 90th $126 to $132Professionalmedian $170 · 10th to 90th $132 to $263
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$131.83
Typical High
$131.83
Facility
None
$125.89
$131.83
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$131.83
Typical High
$144.54
Professional
None
$125.89
$131.83
$144.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$181.97
Typical High
$263.03
Professional
None
$138.04
$181.97
$263.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$173.78
Professional
None
$144.54
$144.54
$173.78
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$93.33
Median
$97.72
Typical High
$109.65
Professional
54 · Surgery only
$93.33
$97.72
$109.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$19.50
Typical High
$21.88
Professional
55 · Aftercare only
$19.05
$19.50
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.59
Median
$13.18
Typical High
$14.45
Professional
56 · Pre-op care only
$12.59
$13.18
$14.45
Where Georgia 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.