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Complex Abscess Drainage

Pennsylvania 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?

$162

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $479 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$129 to $166
FacilityA hospital or hospital-owned outpatient department$479$389 to $631

How much rates vary

Facilitymedian $479 · 10th to 90th $363 to $1,000Professionalmedian $162 · 10th to 90th $115 to $166
$100$500$2K$10K$50Kfacility $479professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$87.10
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.48
Median
$12.88
Typical High
$12.88
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$162.18
Typical High
$165.96
Geisinger
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$467.74
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$128.82
Martin's Point
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$87.10
Median
$97.72
Typical High
$97.72
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$19.50
Typical High
$19.50
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.48
Median
$12.88
Typical High
$12.88
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$331.13
Typical High
$331.13

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$162

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.