Cost of a Abscess Drainage Visit
in Virginia
Reviewed by Momentary Medical Group West PC
Virginia's healthcare costs average approximately 3% above national levels, driven by the state's mix of urban centers and rural communities requiring diverse care delivery models. For Abscess Drainage procedures, patients typically pay between $66.71 and $244.26, with a median out-of-pocket cost of $108.20 across Virginia's 2,969 active providers. With Medicaid expansion providing broader coverage options and major insurers like Anthem and Optima Health maintaining competitive networks, patients can browse all available Abscess Drainage providers throughout the Commonwealth.
Average
$140
Median
$108
Lowest
$67
Highest
$244
Providers
2,969
22% below national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $30 | $79 | $193 | 2,833 |
| Joint Injection Injection into a major joint or bursa | 20610 | $35 | $68 | $138 | 3,387 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $1 | $2 | $98 | 3,504 |
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 Virginia
Virginia's healthcare costs run approximately 3% above national averages, influenced by the state's economic diversity from high-income Northern Virginia to rural Appalachian communities. The Commonwealth's geography creates distinct cost zones, with procedures in the Washington DC metro area commanding premium rates while rural regions offer more affordable options.
Urban vs. Rural Provider Availability
Northern Virginia and Richmond feature dense provider networks with competitive pricing, while rural counties in Southwest Virginia may have limited options requiring patients to travel for specialized care. The I-95 corridor between Richmond and DC offers the highest concentration of dermatology and urgent care facilities. Rural areas often rely on hospital emergency departments for after-hours abscess drainage, increasing costs significantly.
Facility Type and Overhead Costs
Hospital-owned practices affiliated with major systems like Sentara, VCU Health, and Inova typically charge higher facility fees than independent urgent care centers. Academic medical centers in Richmond and Charlottesville may have higher overhead costs reflected in procedure pricing. Freestanding urgent care chains often provide the most cost-effective option for routine abscess drainage.
Insurance Market Competition in Virginia
Virginia's competitive insurance landscape with Anthem, Optima Health, and UHC creates favorable negotiated rates in most metropolitan areas. Rural markets may have limited insurer participation, reducing competition and potentially increasing out-of-pocket costs. The state's lack of an all-payer claims database makes price transparency more challenging for consumers comparing options.
Physician Supply and Demand in Virginia
With 2,969 active providers offering abscess drainage services, Virginia maintains adequate supply in urban areas but faces shortages in rural regions. This abundance in metropolitan markets helps keep prices competitive and reduces wait times for non-emergency procedures. Rural provider shortages can drive up costs and force patients to seek care in emergency departments at higher rates.
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 Virginia
What is the average cost of a Abscess Drainage visit in Virginia without insurance?
Does Virginia Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Virginia?
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 Virginia?
How does telemedicine affect the cost of seeing a Abscess Drainage in Virginia?
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 |