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Complex Abscess Drainage

South Dakota 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?

$129

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $126 to $158.

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 $214 · 10th to 90th $158 to $302Professionalmedian $129 · 10th to 90th $126 to $251
$200$500$1Kfacility $214professional $129

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. 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
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$257.04
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19

Where South Dakota 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.

South Dakota· 34th of 51

$129

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.