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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.

How much does Drainage Of A Complicated Mouth Lining Infection cost?

$437

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $871 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 8 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$427$309 to $575
FacilityA hospital or hospital-owned outpatient department$871$437 to $1,622

How much rates vary

Facilitymedian $871 · 10th to 90th $282 to $4,467Professionalmedian $427 · 10th to 90th $282 to $708
$200$500$1K$2K$5K$10Kfacility $871professional $427

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
$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

Where Idaho 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.

Idaho· 16th of 51

$437

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.