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Complex Abscess Drainage

New York 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?

$224

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $3,631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$126 to $204
FacilityA hospital or hospital-owned outpatient department$3,631$2,344 to $4,266

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,122 to $5,012Professionalmedian $174 · 10th to 90th $105 to $295
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $174

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
Facility
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$346.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$34.67
Typical High
$257.04
Univera
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$128.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$141.25

Where New York 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.

New York· 9th of 51

$224

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.