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Drainage Of A Complicated Mouth Lining Infection

Idaho 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.

Facilitymedian $871 · 10th–90th $282$4,4670%5%10th90th$871Professionalmedian $427 · 10th–90th $282$7080%10%20%10th90th$427$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,466.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,047.13
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$776.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,819.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$616.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$812.83
Typical High
$1,862.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$549.54