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Drainage Of A Complicated Mouth Lining Infection

Maryland 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?

$295

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $234 to $355.

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.

How much rates vary

Facilitymedian $8,318 · 10th to 90th $129 to $8,318Professionalmedian $295 · 10th to 90th $195 to $1,122
$200$500$1K$2K$5Kfacility $8,318professional $295

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$1,230.27
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$371.54
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$562.34
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$478.63

Where Maryland 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.

Maryland· 48th of 51

$295

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.