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Drainage Of A Complicated Mouth Lining Infection

Connecticut 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?

$479

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $5,012 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$407$295 to $589
FacilityA hospital or hospital-owned outpatient department$5,012$3,890 to $6,761

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,138 to $8,511Professionalmedian $407 · 10th to 90th $234 to $759
$200$500$1K$2K$5K$10Kfacility $5,012professional $407

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
$3,090.30
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$489.78
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$776.25
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$831.76

Where Connecticut 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.

Connecticut· 11th of 51

$479

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.