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Drainage Of A Complicated Mouth Lining Infection

Kansas 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?

$355

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $3,162 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$302$263 to $363
FacilityA hospital or hospital-owned outpatient department$3,162$575 to $5,754

How much rates vary

Facilitymedian $3,162 · 10th to 90th $316 to $8,128Professionalmedian $302 · 10th to 90th $204 to $490
$200$500$1K$2K$5K$10Kfacility $3,162professional $302

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
$354.81
Median
$3,801.89
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$467.74

Where Kansas 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.

Kansas· 31st of 51

$355

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.