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Drainage Of A Complicated Mouth Lining Infection

Alabama rates for HCPCS 40801

This is a procedure to surgically drain a collection of pus, fluid, or blood that has built up in the tissue lining between the lips or cheeks and the gums, in a case that is more involved than a straightforward drainage. It relieves pressure and helps clear the infection or fluid buildup.

Rates data updated July 2026.

How much does Drainage Of A Complicated Mouth Lining Infection cost?

$407

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,259 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$263 to $575
FacilityA hospital or hospital-owned outpatient department$1,259$851 to $1,660

How much rates vary

Facilitymedian $1,259 · 10th to 90th $447 to $2,399Professionalmedian $398 · 10th to 90th $200 to $589
$200$500$1K$2K$5Kfacility $1,259professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$707.95
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$457.09

Where Alabama sits

The same service costs 9.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 23rd of 51

$407

CA $2,630WV $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.