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Complex Abscess Drainage

Ohio 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 Ohio, October 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $129 to $195.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $200 · 10th to 90th $126 to $646Professionalmedian $151 · 10th to 90th $120 to $240
$100$200$500facility $200professional $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
$707.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$645.65
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$93.33
Median
$93.33
Typical High
$489.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$19.05
Typical High
$97.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.59
Median
$12.59
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$151.36
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$208.93
Typical High
$239.88

Where Ohio 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.

Ohio· 36th 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.