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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 July 2026.

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

$437

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $447 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 5 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$417$309 to $537
FacilityA hospital or hospital-owned outpatient department$447$347 to $525

How much rates vary

Facilitymedian $447 · 10th to 90th $339 to $562Professionalmedian $417 · 10th to 90th $234 to $1,122
$100$200$500$1Kfacility $447professional $417

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
$204.17
Median
$380.19
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$537.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$549.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$309.03
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$707.95

Where Montana 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.

Montana· 15th of 51

$437

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.