Cost of a Abscess Drainage Visit
in Massachusetts
Reviewed by Momentary Medical Group West PC
Massachusetts leads the nation in healthcare coverage with 98% of residents insured, yet Abscess Drainage costs still vary dramatically across the state's 1,389 active providers. Patients typically pay between $80 and $464 for an incision and drainage procedure, with a median cost of $167 based on actual negotiated rates from insurance transparency files. You can browse all Abscess Drainage providers across Massachusetts to compare costs and find the most affordable option for your specific insurance plan.
Average
$237
Median
$167
Lowest
$80
Highest
$464
Providers
1,389
32% above national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in Massachusetts?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $62 | $151 | $387 | 1,093 |
| Joint Injection Injection into a major joint or bursa | 20610 | $55 | $88 | $538 | 1,393 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $3 | $80 | 2,054 |
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 Massachusetts
Massachusetts healthcare costs run approximately 20% above the national average, driven by the state's concentration of prestigious academic medical centers and one of the highest physician-to-population ratios in the country. The state's universal coverage mandate and robust insurance regulations create a unique market where negotiated rates tend to be higher but access is nearly universal.
Urban vs. Rural Provider Availability
The Greater Boston area contains over 60% of the state's Abscess Drainage providers despite housing only 45% of the population, creating significant cost disparities between metro and rural regions. Western Massachusetts counties like Berkshire and Franklin have fewer specialists, often requiring patients to travel to Springfield or Boston for care. This geographic concentration drives up demand and pricing in urban areas while leaving rural patients with limited local options.
Facility Type and Overhead Costs
Massachusetts is home to several major health systems including Partners HealthCare (now Mass General Brigham), Beth Israel Lahey Health, and Steward Health Care, whose hospital-based outpatient clinics typically charge higher facility fees. Independent urgent care centers and dermatology practices offer the same I&D procedures at 30-50% lower costs due to reduced overhead expenses. Academic medical centers like Massachusetts General and Brigham and Women's command premium rates due to their teaching hospital status.
Insurance Market Competition in Massachusetts
The state's insurance landscape is dominated by BCBS Massachusetts (40% market share), Tufts Health Plan (25%), and Harvard Pilgrim (20%), creating a moderately competitive environment. This concentration gives these insurers significant negotiating power with providers, though Massachusetts's strict insurance regulations prevent the most aggressive cost-cutting measures seen in other states. The result is higher but more predictable pricing across the market.
Physician Supply and Demand in Massachusetts
With 1,389 active providers performing abscess drainage procedures, Massachusetts maintains excellent physician availability relative to its 6.9 million residents. This robust supply should theoretically moderate pricing, but the state's high cost of living, malpractice insurance rates, and concentration of subspecialty-trained physicians keeps costs elevated. Wait times are generally shorter than the national average, though premium providers in Boston may have 2-3 week scheduling delays.
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 Massachusetts
What is the average cost of a Abscess Drainage visit in Massachusetts without insurance?
Does Massachusetts Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Massachusetts?
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 Massachusetts?
How does telemedicine affect the cost of seeing a Abscess Drainage in Massachusetts?
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 |