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Complex Abscess Drainage

Wisconsin 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?

$219

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $145 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 8 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$219$135 to $331
FacilityA hospital or hospital-owned outpatient department$145$102 to $170

How much rates vary

Facilitymedian $145 · 10th to 90th $102 to $263Professionalmedian $219 · 10th to 90th $112 to $468
$100$200$500$1K$2Kfacility $145professional $219

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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$501.19
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$257.04
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$263.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$891.25
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$257.04
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$446.68
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,187.76
Quartz
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$891.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$331.13

Where Wisconsin 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.

Wisconsin· 12th of 51

$219

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.