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Complex Abscess Drainage

Indiana 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?

$151

Typical negotiated rate. In Indiana, October 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 $912 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$151$151 to $166
FacilityA hospital or hospital-owned outpatient department$912$501 to $2,188

How much rates vary

Facilitymedian $912 · 10th to 90th $151 to $2,512Professionalmedian $151 · 10th to 90th $93 to $224
$100$200$500$1K$2Kfacility $912professional $151

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
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$128.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$14.13
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$9.33
Typical High
$12.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$2,187.76
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$117.49
Typical High
$147.91
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$281.84

Where Indiana 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.

Indiana· 35th of 51

$151

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.