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Complex Abscess Drainage

Illinois 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?

$117

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $759 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$107 to $120
FacilityA hospital or hospital-owned outpatient department$759$631 to $1,023

How much rates vary

Facilitymedian $759 · 10th to 90th $550 to $1,072Professionalmedian $107 · 10th to 90th $30 to $407
$50$100$200$500$1Kfacility $759professional $107

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
$107.15
Median
$107.15
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$81.28
Median
$81.28
Typical High
$95.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.22
Median
$16.22
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$10.72
Typical High
$12.88
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$812.83
Typical High
$1,071.52
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$489.78
Typical High
$660.69
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Illinois 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.

Illinois· 45th of 51

$117

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.