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Drainage Of A Complicated Mouth Lining Infection

Indiana 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 $3,890 · 10th–90th $575$8,3180%5%10%10th90th$3,890Professionalmedian $275 · 10th–90th $186$4070%10%20%10th90th$275$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
$223.87
Median
$1,380.38
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,073.80
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$501.19