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Drainage Of A Complicated Mouth Lining Infection

Arkansas 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?

$339

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $708 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$295$263 to $363
FacilityA hospital or hospital-owned outpatient department$708$389 to $1,318

How much rates vary

Facilitymedian $708 · 10th to 90th $269 to $1,820Professionalmedian $295 · 10th to 90th $209 to $457
$200$500$1K$2Kfacility $708professional $295

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
$269.15
Median
$1,071.52
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$549.54
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$524.81

Where Arkansas 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.

Arkansas· 36th of 51

$339

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.