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Drainage Of A Complicated Mouth Lining Infection

Montana 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 October 2026.

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

$339

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $372 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$282 to $457
FacilityA hospital or hospital-owned outpatient department$372$324 to $525

How much rates vary

Facilitymedian $372 · 10th to 90th $316 to $575Professionalmedian $339 · 10th to 90th $186 to $525
$100$200$500$1Kfacility $372professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$309.03
Typical High
$851.14
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$478.63
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$380.19
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$338.84
Typical High
$562.34
Providence
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$478.63
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$309.03
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$446.68
Typical High
$588.84

Where Montana sits

The same service costs 3.7 times more in Wisconsin than in Utah. 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.

Montana· 28th of 51

$339

WI $891UT $240

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.