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Complex Abscess Drainage

Kentucky 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 physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $129 to $151.

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.

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $126Professionalmedian $151 · 10th to 90th $112 to $151
$50$100$200facility $126professional $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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$125.89
Typical High
$134.90
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$91.20
Median
$95.50
Typical High
$100.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$19.05
Typical High
$20.42
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$12.59
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Kentucky 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.

Kentucky· 34th 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.