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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.

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

$309

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $3,890 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 5 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$275$195 to $324
FacilityA hospital or hospital-owned outpatient department$3,890$2,754 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $575 to $8,318Professionalmedian $275 · 10th to 90th $186 to $407
$50$200$1K$5Kfacility $3,890professional $275

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
$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

Where Indiana 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.

Indiana· 44th of 51

$309

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.