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Complex Abscess Drainage

Idaho 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 July 2026.

How much does Complex Abscess Drainage cost?

$151

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $214 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 5 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$151$138 to $182
FacilityA hospital or hospital-owned outpatient department$214$151 to $389

How much rates vary

Facilitymedian $214 · 10th to 90th $135 to $550Professionalmedian $151 · 10th to 90th $135 to $331
$200$500$1Kfacility $214professional $151

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
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$1,819.70

Where Idaho sits

The same service costs 15.8 times more in Minnesota than in Nebraska. 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.

Idaho· 22nd of 51

$151

MN $1,549NE $97.72

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.