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Drainage Of A Complicated Mouth Lining Infection

Massachusetts 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?

$372

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $1,549 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 8 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$372$263 to $575
FacilityA hospital or hospital-owned outpatient department$1,549$309 to $2,884

How much rates vary

Facilitymedian $1,549 · 10th to 90th $240 to $3,715Professionalmedian $372 · 10th to 90th $224 to $813
$200$500$1K$2K$5K$10K$20Kfacility $1,549professional $372

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
$331.13
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$891.25
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,621.81
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$831.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$602.56
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$794.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,621.81
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,819.70
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$851.14

Where Massachusetts 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.

Massachusetts· 26th of 51

$372

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.