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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.

How much does Drainage Of A Complicated Mouth Lining Infection cost?

$589

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $977 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$562$417 to $776
FacilityA hospital or hospital-owned outpatient department$977$631 to $1,778

How much rates vary

Facilitymedian $977 · 10th to 90th $282 to $2,344Professionalmedian $562 · 10th to 90th $302 to $1,072
$200$500$1K$2Kfacility $977professional $562

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
$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

Where Minnesota 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.

Minnesota· 7th of 51

$589

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.