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Drainage Of A Complicated Mouth Lining Infection

Colorado 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?

$417

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $3,236 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 7 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$245 to $407
FacilityA hospital or hospital-owned outpatient department$3,236$2,138 to $5,495

How much rates vary

Facilitymedian $3,236 · 10th to 90th $372 to $7,586Professionalmedian $302 · 10th to 90th $209 to $575
$200$500$1K$2K$5K$10Kfacility $3,236professional $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
$302.00
Median
$5,128.61
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$562.34
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$776.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$676.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,318.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$630.96

Where Colorado 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.

Colorado· 21st of 51

$417

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.