Cost of a Abscess Drainage Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's complex healthcare marketplace, with costs running approximately 22% above national averages, makes understanding Abscess Drainage pricing particularly important for patients across the Empire State. For abscess drainage procedures, patients typically pay between $80.54 and $464.11, with a median out-of-pocket cost of $136.83 based on negotiated insurance rates. With over 31,000 active providers offering these services throughout New York's diverse urban and rural regions, patients can browse all available Abscess Drainage specialists to find quality care that fits their budget.
Average
$227
Median
$137
Lowest
$81
Highest
$464
Providers
31,147
26% above national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $49 | $103 | $387 | 30,315 |
| Joint Injection Injection into a major joint or bursa | 20610 | $44 | $77 | $538 | 31,170 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $4 | $60 | 32,651 |
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 New York
New York's healthcare costs run approximately 22% above national averages, driven by the state's high cost of living, stringent regulations, and concentration of academic medical centers throughout the metropolitan regions. The Empire State's diverse geography creates stark cost variations between densely populated areas like New York City and more rural regions in the Adirondacks and Southern Tier.
Urban vs. Rural Provider Availability
New York City and Long Island feature abundant provider options that create competitive pricing for routine procedures like abscess drainage, while rural counties in Western and Northern New York may have limited options driving higher costs. The concentration of urgent care centers and dermatology practices in metropolitan areas gives patients more choice in balancing cost and convenience. Rural patients often travel to larger cities for specialized care, adding transportation costs to the overall expense.
Facility Type and Overhead Costs
Hospital-owned practices dominate New York's healthcare landscape, with systems like NewYork-Presbyterian, Northwell Health, and Rochester Regional Health operating extensive outpatient networks that typically charge premium rates. Independent practices and urgent care centers often offer more competitive pricing for abscess drainage, particularly in competitive markets like Albany, Syracuse, and Buffalo. Academic medical centers affiliated with institutions like Columbia and NYU command higher rates due to their teaching hospital status and research overhead.
Insurance Market Competition in New York
Empire BCBS holds significant market share across New York, while UnitedHealthcare, Aetna, and Cigna compete aggressively in commercial markets, creating varied negotiated rates for the same procedures. The state's robust insurance marketplace and Medicaid managed care competition helps keep some costs in check, though premium markets like Manhattan still see elevated pricing. Regional insurers and local health plans in upstate markets sometimes negotiate more favorable rates with community providers.
Physician Supply and Demand in New York
With over 31,000 providers capable of performing abscess drainage, New York enjoys relatively good access to these services compared to national averages, helping moderate pricing in most regions. The state's medical schools and residency programs produce steady provider supply, though geographic distribution favors urban areas over rural counties. High provider density in competitive markets like Westchester County and Nassau County creates downward pressure on pricing, while underserved rural areas may see premium rates due to limited competition.
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 New York
What is the average cost of a Abscess Drainage visit in New York without insurance?
Does New York Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in New York?
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 New York?
How does telemedicine affect the cost of seeing a Abscess Drainage in New York?
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 |
