Drainage of a gland abscess

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Drainage of Gland Abscess

Payers reporting CPT 56420

Payer pricing summary

Low

$138

Average

$762

Median

$388

High

$7.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Bcbs Al facility · other · outpatient · +5 other terms	4	$281	$209	$81	39%	7–70	$141 – $340
2	Aetna fee schedule · outpatient · +39 other terms	581	$228	$864	$1.9k	217%	5–50	$1 – $21.3k
3	UnitedHealthcare fee schedule · outpatient · +41 other terms	635	$212	$593	$1.3k	212%	3–30	$1 – $17.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	453	$273	$888	$1.6k	183%	1–10	$0 – $18.0k
5	Humana fee schedule · outpatient · +31 other terms	430	$197	$294	$695	237%	1–10	$1 – $12.8k
6	Molina fee schedule · outpatient · +34 other terms	260	$185	$190	$357	187%	1–10	$1 – $5.8k
7	Anthem fee schedule · outpatient · +34 other terms	152	$216	$354	$686	194%	1–10	$41 – $6.3k
8	Kaiser fee schedule · outpatient · +25 other terms	110	$273	$396	$602	152%	1–10	$1 – $4.3k
9	Medica fee schedule · outpatient · +24 other terms	43	$236	$330	$174	53%	1–10	$45 – $731
10	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$462	$462	—	—	1–10	$462 – $462
11	Cigna case rate · outpatient · +35 other terms	320	$2.9k	$4.6k	$6.1k	134%	—	$1 – $40.7k
12	WellCare fee schedule · outpatient · +28 other terms	197	$206	$260	$460	177%	—	$70 – $4.3k
13	Oscar case rate · outpatient · +24 other terms	129	$2.5k	$2.7k	$697	26%	—	$315 – $7.5k
14	MultiPlan fee schedule · outpatient · +24 other terms	113	$341	$419	$319	76%	—	$71 – $1.5k
15	Ambetter facility · fee schedule · outpatient · +23 other terms	108	$361	$477	$899	189%	—	$92 – $8.1k
16	Devoted facility · fee schedule · outpatient · +21 other terms	96	$191	$278	$605	217%	—	$62 – $4.9k
17	Tricare facility · fee schedule · outpatient · +20 other terms	96	$203	$687	$1.5k	218%	—	$49 – $6.1k
18	Aetna Better Health fee schedule · outpatient · +20 other terms	92	$98	$128	$85	67%	—	$53 – $729
19	Caresource fee schedule · outpatient · +25 other terms	79	$207	$343	$525	153%	—	$1 – $4.3k
20	Optum fee schedule · outpatient · +25 other terms	70	$183	$188	$108	58%	—	$76 – $746
21	Highmark facility · fee schedule · outpatient · +21 other terms	60	$309	$599	$774	129%	—	$53 – $3.8k
22	First Health fee schedule · outpatient · +24 other terms	44	$211	$869	$2.0k	231%	—	$71 – $7.2k
23	Cigna Healthspring fee schedule · outpatient · +11 other terms	41	$198	$163	$58	36%	—	$74 – $216
24	Medicaid facility · fee schedule · outpatient · +21 other terms	41	$161	$237	$610	258%	—	$51 – $5.2k
25	Medicare facility · fee schedule · outpatient · +21 other terms	41	$208	$796	$2.6k	327%	—	$81 – $22k

Page 1 of 3 · 70 payers