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Drainage Of A Complicated Mouth Lining Infection

Minnesota 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.

Facilitymedian $977 · 10th–90th $282$2,3440%10%10th90th$977Professionalmedian $562 · 10th–90th $302$1,0720%5%10%10th90th$562$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,000.00
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,318.26
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$2,344.23
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,778.28
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$1,096.48