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Drainage Of A Complicated Mouth Lining Infection

Washington, DC 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?

$347

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $234 to $550.

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.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $234 to $7,762Professionalmedian $331 · 10th to 90th $224 to $389
$200$500$1K$2K$5Kfacility $3,548professional $331

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
$234.42
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$354.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,949.84
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$691.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$977.24
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$724.44

Where Washington, DC 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.

Washington, DC· 33rd of 51

$347

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.