go back

Drainage Of A Complicated Mouth Lining Infection

Kentucky 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?

$302

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $2,291 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 6 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$263$195 to $316
FacilityA hospital or hospital-owned outpatient department$2,291$1,413 to $3,548

How much rates vary

Facilitymedian $2,291 · 10th to 90th $347 to $4,365Professionalmedian $263 · 10th to 90th $186 to $457
$200$500$1K$2K$5Kfacility $2,291professional $263

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
$239.88
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$354.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$295.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$501.19

Where Kentucky 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.

Kentucky· 46th of 51

$302

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.