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Drainage Of A Complicated Mouth Lining Infection

Arizona 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?

$331

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $2,399 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 5 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$302$224 to $389
FacilityA hospital or hospital-owned outpatient department$2,399$1,445 to $4,677

How much rates vary

Facilitymedian $2,399 · 10th to 90th $380 to $6,607Professionalmedian $302 · 10th to 90th $195 to $1,122
$200$500$1K$2K$5Kfacility $2,399professional $302

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
$1,905.46
Median
$3,715.35
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,398.83
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$478.63

Where Arizona 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.

Arizona· 39th of 51

$331

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.