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Drainage Of A Complicated Mouth Lining Infection

Iowa 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?

$490

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $2,951 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$447$309 to $708
FacilityA hospital or hospital-owned outpatient department$2,951$759 to $4,467

How much rates vary

Facilitymedian $2,951 · 10th to 90th $490 to $6,761Professionalmedian $447 · 10th to 90th $263 to $1,288
$200$500$1K$2K$5K$10Kfacility $2,951professional $447

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
$489.78
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$436.52
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$870.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$478.63
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,348.96
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$776.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$758.58

Where Iowa 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.

Iowa· 10th of 51

$490

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.