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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 October 2026.

How much does Complex Abscess Drainage cost?

$195

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $525 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$135 to $316
FacilityA hospital or hospital-owned outpatient department$525$468 to $525

How much rates vary

Facilitymedian $525 · 10th to 90th $182 to $1,148Professionalmedian $158 · 10th to 90th $135 to $331
$50$100$200$500$1Kfacility $525professional $158

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$181.97
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$20.42
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$13.49
Typical High
$18.20
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$524.81
Typical High
$1,148.15
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$331.13
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$194.98
Median
$218.78
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$181.97
Moda Health
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$20.42
Typical High
$27.54
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$13.49
Typical High
$18.20
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$549.54

Where Idaho 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.

Idaho· 22nd of 51

$195

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.