Cost of a Abscess Drainage Visit
in Illinois
Reviewed by Momentary Medical Group West PC
Illinois's concentrated healthcare market, with over 60% of specialists clustered in the Chicago metropolitan area, creates significant cost variations for Abscess Drainage procedures across the state. Patients typically pay between $80 and $459 for abscess drainage, with a median out-of-pocket cost of $151 based on negotiated insurance rates. With over 9,000 active providers offering Abscess Drainage services throughout Illinois, patients have substantial options when browsing all providers in Illinois.
Average
$230
Median
$151
Lowest
$80
Highest
$459
Providers
9,075
28% above national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in Illinois?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $37 | $89 | $230 | 7,576 |
| Joint Injection Injection into a major joint or bursa | 20610 | $50 | $83 | $191 | 7,374 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $16 | $85 | 17,821 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 10060 — Incision and drainage of abscess, simple). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 10060 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 10060 (Incision and drainage of abscess, simple), as mandated by the CMS Price Transparency Rule.
What CPT 10060 covers: the provider's professional fee for abscess drainage (i&d). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Abscess Drainage Visit Costs Vary Across Illinois
Illinois healthcare costs run approximately 10% above the national average, driven by high concentrations of academic medical centers and union-represented healthcare workers in Chicago. The state's dramatic urban-rural divide creates access challenges that influence both pricing and availability of abscess drainage services.
Urban vs. Rural Provider Availability
Chicago and suburban Cook County contain the majority of Illinois's specialists, while rural counties often lack immediate access to surgical procedures. Patients in southern and western Illinois may travel 50+ miles for abscess drainage, increasing total treatment costs. This geographic disparity drives many rural residents to seek care in emergency departments rather than outpatient clinics.
Facility Type and Overhead Costs
Major health systems like Northwestern Medicine, Advocate Aurora, and Rush dominate Chicago-area markets, often charging premium facility fees for outpatient procedures. Independent urgent care centers and family practices typically offer lower-cost alternatives for simple abscess drainage. Hospital-based clinics benefit from 24/7 availability but carry higher overhead costs that translate to patient bills.
Insurance Market Competition in Illinois
BCBS Illinois holds significant market share but faces strong competition from UnitedHealthcare and Aetna in major metro areas. This competitive dynamic has helped moderate negotiated rates for common procedures like abscess drainage. Rural areas often have fewer insurer options, potentially leading to higher out-of-network costs for patients with limited plan choices.
Physician Supply and Demand in Illinois
With over 9,000 providers offering abscess drainage procedures, Illinois has relatively good provider availability compared to neighboring Midwest states. Chicago's concentration of medical schools and residency programs ensures steady physician supply in urban areas. However, rural physician shortages mean longer wait times and higher costs for non-emergency procedures in downstate communities.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Abscess Drainage Costs in Illinois
What is the average cost of a Abscess Drainage visit in Illinois without insurance?
Does Illinois Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Illinois?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Abscess Drainage visit in Illinois?
How does telemedicine affect the cost of seeing a Abscess Drainage in Illinois?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 10060)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $779 | $317 |
| 2 | North Dakota Range: $80 – $611 | $277 |
| 3 | Iowa Range: $85 – $502 | $267 |
| 4 | Minnesota Range: $80 – $540 | $256 |
| 5 | Massachusetts Range: $80 – $464 | $237 |
| 6 | Rhode Island Range: $80 – $464 | $237 |
| 7 | Illinois Range: $80 – $459 | $230 |
| 8 | Connecticut Range: $80 – $464 | $230 |
| 9 | Nebraska Range: $119 – $308 | $228 |
| 10 | New York Range: $81 – $464 | $227 |
| 11 | Delaware Range: $76 – $464 | $219 |
| 12 | Pennsylvania Range: $73 – $464 | $219 |
| 13 | Michigan Range: $80 – $464 | $216 |
| 14 | West Virginia Range: $80 – $456 | $216 |
| 15 | New Hampshire Range: $112 – $303 | $214 |
| 16 | Indiana Range: $80 – $456 | $210 |
| 17 | Georgia Range: $83 – $397 | $209 |
| 18 | Wyoming Range: $80 – $372 | $206 |
| 19 | Maine Range: $126 – $254 | $200 |
| 20 | Oregon Range: $80 – $387 | $195 |
| 21 | District of Columbia Range: $76 – $346 | $194 |
| 22 | Washington Range: $80 – $324 | $182 |
| 23 | South Dakota Range: $83 – $309 | $178 |
| 24 | Vermont Range: $95 – $290 | $178 |
| 25 | New Mexico Range: $85 – $274 | $172 |
| 26 | Alaska Range: $80 – $348 | $169 |
| 27 | Colorado Range: $62 – $309 | $168 |
| 28 | North Carolina Range: $77 – $297 | $168 |
| 29 | Utah Range: $40 – $278 | $168 |
| 30 | Kentucky Range: $80 – $308 | $167 |
| 31 | Hawaii Range: $80 – $308 | $166 |
| 32 | Montana Range: $80 – $308 | $156 |
| 33 | Idaho Range: $80 – $289 | $155 |
| 34 | New Jersey Range: $44 – $306 | $151 |
| 35 | Arkansas Range: $85 – $224 | $149 |
| 36 | Maryland Range: $71 – $254 | $145 |
| 37 | Texas Range: $80 – $233 | $142 |
| 38 | Virginia Range: $67 – $244 | $140 |
| 39 | South Carolina Range: $80 – $232 | $140 |
| 40 | Oklahoma Range: $79 – $227 | $137 |
| 41 | Tennessee Range: $83 – $204 | $135 |
| 42 | Louisiana Range: $76 – $211 | $132 |
| 43 | Missouri Range: $81 – $178 | $131 |
| 44 | Kansas Range: $88 – $177 | $129 |
| 45 | Alabama Range: $76 – $203 | $127 |
| 46 | Ohio Range: $63 – $206 | $124 |
| 47 | Arizona Range: $80 – $192 | $124 |
| 48 | Mississippi Range: $79 – $187 | $124 |
| 49 | California Range: $15 – $264 | $122 |
| 50 | Nevada Range: $30 – $189 | $102 |
| 51 | Florida Range: $35 – $187 | $92 |