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Complex Abscess Drainage

Montana 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?

$229

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $138 to $234.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $204 to $288Professionalmedian $229 · 10th to 90th $138 to $240
$100$200facility $234professional $229

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
$138.04
Median
$138.04
Typical High
$138.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$234.42
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$234.42
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$295.12

Where Montana 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.

Montana· 8th of 51

$229

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.