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Complex Abscess Drainage

Virginia 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?

$120

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $186 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$120$89.13 to $145
FacilityA hospital or hospital-owned outpatient department$186$129 to $234

How much rates vary

Facilitymedian $186 · 10th to 90th $120 to $10,000Professionalmedian $120 · 10th to 90th $79 to $186
$100$200$500$1K$2K$5K$10Kfacility $186professional $120

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
$120.23
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$131.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$316.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$10,000.00

Where Virginia 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.

Virginia· 46th of 51

$120

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.