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Drainage Of A Complicated Mouth Lining Infection

Illinois 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 $1,318 · 10th–90th $288$5,3700%5%10th90th$1,318Professionalmedian $331 · 10th–90th $195$5890%10%10th90th$331$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
$288.40
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$524.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$416.87
Typical High
$870.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$588.84