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Drainage Of A Complicated Mouth Lining Infection

Maine 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?

$363

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $269 to $447.

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

Professionalmedian $363 · 10th to 90th $234 to $575
$200$500professional $363

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
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$630.96

Where Maine 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.

Maine· 27th of 51

$363

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.