Logo
Utah

Cost of a Abscess Drainage Visit
in Utah

Reviewed by Momentary Medical Group West PC

Utah's healthcare system benefits from Intermountain Healthcare's integrated delivery model, which has historically helped keep medical costs about 2% below the national average. For Abscess Drainage procedures, patients typically pay between $40 and $278, with a median out-of-pocket cost of $185 based on negotiated insurance rates. Utah maintains 421 active Abscess Drainage providers across the state, offering patients multiple options for care from the Wasatch Front to rural communities.

Average

$168

Median

$185

Lowest

$40

Highest

$278

Providers

421

National avg: $180Utah: $168

7% below national average

Compare Similar Procedures

How does abscess drainage (i&d) compare to related procedures in Utah?

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$54$115$220394
Joint Injection

Injection into a major joint or bursa

20610$37$92$142440
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$3$85537

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 10060Incision 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 Utah

Utah's healthcare costs run approximately 2% below the national average, partly due to Intermountain Healthcare's efficiency-focused model and the state's relatively healthy population. The Wasatch Front's urban concentration creates different cost dynamics than the state's vast rural areas, where limited provider competition can actually drive prices higher despite lower overhead costs.

Urban vs. Rural Provider Availability

The Salt Lake City metropolitan area contains over 60% of Utah's Abscess Drainage providers, creating competitive pricing along the Wasatch Front while leaving rural counties with limited options. Patients in southeastern Utah or the Uinta Basin may need to travel significant distances for specialty care, though urgent care centers in larger towns like Moab and Vernal can handle routine drainage procedures. This geographic concentration means rural patients often pay more despite lower regional cost of living.

Facility Type and Overhead Costs

Intermountain Healthcare's hospital-based clinics typically charge higher facility fees than independent urgent care centers or physician practices in Utah. University of Utah Health system facilities command premium pricing in the Salt Lake market, while smaller regional hospitals like Dixie Regional Medical Center offer more competitive rates. The state's growing number of standalone emergency centers provides a middle-ground option between traditional ERs and urgent care for after-hours drainage procedures.

Insurance Market Competition in Utah

SelectHealth dominates Utah's individual and small group markets with about 60% market share, followed by BCBS Utah and UHC, creating moderate competition that keeps negotiated rates reasonable. The state's lack of a major national insurer presence means regional insurers can negotiate more effectively with local health systems. This dynamic typically results in better rates for patients with SelectHealth or BCBS Utah coverage compared to out-of-state insurance plans.

Physician Supply and Demand in Utah

With 421 active Abscess Drainage providers serving Utah's 3.4 million residents, the state maintains adequate physician supply in urban areas but faces shortages in rural regions. This relatively strong provider density in metropolitan areas keeps prices competitive and wait times short for routine procedures. However, the concentration of specialists along the Wasatch Front means patients in remote areas may face higher costs due to limited local options and travel requirements.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Abscess Drainage Costs in Utah

What is the average cost of an Abscess Drainage visit in Utah without insurance?

Without insurance, Abscess Drainage procedures in Utah typically cost between $40 and $278, with a median cost of $185 based on negotiated insurance rates. Self-pay patients may qualify for discounts of 20-40% at many Utah facilities, potentially reducing these costs significantly. The final amount depends on the complexity of the procedure, facility type, and whether additional services like wound packing or follow-up care are needed.

Does Utah Medicaid cover Abscess Drainage visits?

Yes, Utah Medicaid covers medically necessary Abscess Drainage procedures since the state expanded Medicaid in 2019. Coverage includes both emergency drainage procedures and planned treatments when deemed medically appropriate by a healthcare provider. Patients may need prior authorization for elective procedures, but emergency drainage is typically approved without delay, and most providers accept Utah Medicaid for these services.

How do I find an affordable Abscess Drainage provider near me in Utah?

Compare costs between urgent care centers, which typically charge less than hospital emergency departments for routine drainage procedures in Utah. Many independent practices offer self-pay discounts of 20-40% for uninsured patients, while community health centers like Neighborhood Health provide sliding-scale fees based on income. SelectHealth and BCBS Utah maintain the largest provider networks, offering more in-network options to keep your costs down.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Abscess Drainage consultations typically cost the full $40-$278 range since they include both the evaluation and the procedure itself. Follow-up visits for wound checks or dressing changes usually cost significantly less, often $50-150 depending on the complexity of care needed. Many Utah providers include one follow-up visit in their initial procedure fee, so ask about bundled pricing when scheduling your drainage procedure.

Can I use an HSA or FSA to pay for an Abscess Drainage visit in Utah?

Yes, Abscess Drainage procedures qualify as eligible medical expenses for both HSA and FSA accounts since they treat active infections and medical conditions. You can use these pre-tax dollars to pay for the procedure, any prescribed antibiotics, and related supplies like bandages or wound care products. Keep all receipts and documentation, as the IRS requires proof that expenses were for qualified medical treatment.

How does telemedicine affect the cost of seeing a provider for Abscess Drainage in Utah?

While Abscess Drainage procedures require in-person treatment, telemedicine consultations can help Utah patients determine if they need immediate drainage or can try conservative treatment first. Many Utah providers offer $30-75 telehealth consultations that can save money if antibiotics alone will treat your condition. However, most abscesses ultimately require physical drainage, so telehealth mainly helps with initial assessment and follow-up care rather than replacing the procedure itself.

Click a state to compare costs

Average Visit Cost

$92
$317

Office visit (CPT 10060)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$779
$317
2North Dakota
Range: $80$611
$277
3Iowa
Range: $85$502
$267
4Minnesota
Range: $80$540
$256
5Massachusetts
Range: $80$464
$237
6Rhode Island
Range: $80$464
$237
7Illinois
Range: $80$459
$230
8Connecticut
Range: $80$464
$230
9Nebraska
Range: $119$308
$228
10New York
Range: $81$464
$227
11Delaware
Range: $76$464
$219
12Pennsylvania
Range: $73$464
$219
13Michigan
Range: $80$464
$216
14West Virginia
Range: $80$456
$216
15New Hampshire
Range: $112$303
$214
16Indiana
Range: $80$456
$210
17Georgia
Range: $83$397
$209
18Wyoming
Range: $80$372
$206
19Maine
Range: $126$254
$200
20Oregon
Range: $80$387
$195
21District of Columbia
Range: $76$346
$194
22Washington
Range: $80$324
$182
23South Dakota
Range: $83$309
$178
24Vermont
Range: $95$290
$178
25New Mexico
Range: $85$274
$172
26Alaska
Range: $80$348
$169
27Colorado
Range: $62$309
$168
28North Carolina
Range: $77$297
$168
29Utah
Range: $40$278
$168
30Kentucky
Range: $80$308
$167
31Hawaii
Range: $80$308
$166
32Montana
Range: $80$308
$156
33Idaho
Range: $80$289
$155
34New Jersey
Range: $44$306
$151
35Arkansas
Range: $85$224
$149
36Maryland
Range: $71$254
$145
37Texas
Range: $80$233
$142
38Virginia
Range: $67$244
$140
39South Carolina
Range: $80$232
$140
40Oklahoma
Range: $79$227
$137
41Tennessee
Range: $83$204
$135
42Louisiana
Range: $76$211
$132
43Missouri
Range: $81$178
$131
44Kansas
Range: $88$177
$129
45Alabama
Range: $76$203
$127
46Ohio
Range: $63$206
$124
47Arizona
Range: $80$192
$124
48Mississippi
Range: $79$187
$124
49California
Range: $15$264
$122
50Nevada
Range: $30$189
$102
51Florida
Range: $35$187
$92
Abscess Drainage (I&D) in Other States