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Drainage Of A Complicated Mouth Lining Infection

Louisiana 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?

$427

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,318 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$316$282 to $407
FacilityA hospital or hospital-owned outpatient department$1,318$661 to $2,630

How much rates vary

Facilitymedian $1,318 · 10th to 90th $398 to $3,715Professionalmedian $316 · 10th to 90th $214 to $447
$200$500$1K$2K$5Kfacility $1,318professional $316

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
$398.11
Median
$1,513.56
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,023.29
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$457.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$660.69
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$501.19

Where Louisiana 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.

Louisiana· 19th of 51

$427

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.