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Drainage Of A Complicated Mouth Lining Infection

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $2,884 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$282$234 to $339
FacilityA hospital or hospital-owned outpatient department$2,884$871 to $4,898

How much rates vary

Facilitymedian $2,884 · 10th to 90th $339 to $4,898Professionalmedian $282 · 10th to 90th $191 to $372
$100$200$500$1K$2K$5Kfacility $2,884professional $282

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
$363.08
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$446.68
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$478.63
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$478.63

Where Michigan 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.

Michigan· 49th 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.