Wisconsin

Cost of a Abscess Drainage Visit
in Wisconsin

Name: Abscess Drainage (I&D) Cost in Wisconsin (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Wisconsin's robust network of over 7,190 active Abscess Drainage providers across urban centers like Milwaukee and rural communities reflects the state's commitment to accessible surgical care. Patients typically pay between $73 and $779 for Abscess Drainage procedures, with a median cost of $98 based on negotiated insurance rates. Browse all qualified Abscess Drainage providers throughout Wisconsin to find the most affordable option for your specific needs.

Average

$317

Median

$98

Lowest

$73

Highest

$779

Providers

7,190

National avg: $180Wisconsin: $317

76% above national average

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Just $19.99/mo

Compare Similar Procedures

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

Procedure	CPT	Low	Median	High	Providers
Skin Biopsy Tangential biopsy of skin	11102	$60	$95	$387	7,209
Joint Injection Injection into a major joint or bursa	20610	$72	$178	$487	6,840
Blood Draw (Venipuncture) Routine venipuncture for blood sample	36415	$4	$25	$95	16,542

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.

Full data methodology and glossary

Why Abscess Drainage Visit Costs Vary Across Wisconsin

Wisconsin's Abscess Drainage costs run approximately 1% above national averages, reflecting the state's balanced mix of urban medical centers and rural healthcare challenges. The competitive insurance environment among major players helps moderate pricing compared to less competitive markets.

Urban vs. Rural Provider Availability

Milwaukee and Madison metropolitan areas concentrate the majority of Wisconsin's surgical specialists, while northern and western rural counties face provider shortages. Patients in remote areas like the North Woods region may travel significant distances for care, potentially increasing total treatment costs. Urban centers benefit from multiple competing practices that help stabilize pricing.

Facility Type and Overhead Costs

Wisconsin's dominant health systems like Aurora Health Care (now Advocate Aurora Health) and Ascension Wisconsin operate numerous hospital-based outpatient clinics with higher overhead structures. Independent surgical practices and urgent care centers often provide more cost-effective alternatives for straightforward drainage procedures. Academic medical centers in Madison and Milwaukee may charge teaching hospital premiums.

Insurance Market Competition in Wisconsin

The presence of BCBS Wisconsin, UnitedHealthcare, and regional player WEA Trust creates meaningful competition that benefits consumers through competitive negotiated rates. This multi-insurer environment contrasts with single-payer dominated markets and helps keep Abscess Drainage costs reasonable. State employees through WEA Trust often receive particularly favorable rates at participating providers.

Physician Supply and Demand in Wisconsin

With over 7,190 active Abscess Drainage providers, Wisconsin maintains adequate surgical capacity relative to its population of 5.9 million residents. This robust provider network prevents severe supply shortages that could drive up pricing. However, geographic distribution remains uneven, with rural areas experiencing longer wait times and potentially higher costs due to limited local options.

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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 Wisconsin

What is the average cost of a Abscess Drainage visit in Wisconsin without insurance?

Uninsured patients in Wisconsin typically pay between $73 and $779 for Abscess Drainage procedures, with a median cost of $98 based on negotiated insurance rates. However, many providers offer cash-pay discounts that can reduce these amounts by 20-40% for upfront payment. Community health centers and urgent care facilities often provide more affordable options than hospital-based surgical centers.

Does Wisconsin Medicaid cover Abscess Drainage visits?

Yes, Wisconsin's expanded Medicaid program (BadgerCare Plus) covers medically necessary Abscess Drainage procedures when performed by participating providers. Prior authorization may be required for complex or recurrent cases, but emergency drainage procedures are typically approved retroactively. Patients should verify their provider accepts BadgerCare Plus assignment to avoid unexpected charges.

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

Compare prices between hospital-based clinics and independent practices, as the latter often offer lower facility fees. Ask about cash-pay discounts, payment plans, or sliding fee scales, particularly at Federally Qualified Health Centers throughout Wisconsin. Consider urgent care centers for straightforward cases, as they typically charge less than emergency departments or specialty surgical centers.

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

Initial Abscess Drainage consultations with diagnostic evaluation typically cost more than follow-up visits for wound checks or dressing changes. The actual drainage procedure (CPT 10060) ranges from $73 to $779 with a median of $98 in Wisconsin. Follow-up visits for uncomplicated healing usually involve standard office visit fees, which are significantly lower than the initial surgical intervention.

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

Yes, Abscess Drainage procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the consultation, procedure, prescribed medications, and follow-up care related to the treatment. Keep all receipts and documentation for reimbursement, as these accounts require proper medical expense verification.

How does telemedicine affect the cost of seeing a Abscess Drainage in Wisconsin?

While the actual drainage procedure requires in-person treatment, initial consultations and follow-up visits may be conducted via telemedicine at reduced costs. Wisconsin providers increasingly offer virtual wound checks and post-procedure monitoring through secure video platforms. Telemedicine consultations typically cost 30-50% less than in-person visits, though they cannot replace hands-on surgical intervention when drainage is needed.

Click a state to compare costs

Average Visit Cost

$92