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Drainage Of A Complicated Mouth Lining Infection

Delaware 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?

$295

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $229 to $331.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $204 to $7,244Professionalmedian $282 · 10th to 90th $195 to $550
$200$500$1K$2K$5Kfacility $4,074professional $282

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$467.74

Where Delaware 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.

Delaware· 50th of 51

$295

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.