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Drainage Of A Complicated Mouth Lining Infection

North Carolina 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 $851 · 10th–90th $219$6,9180%10%10th90th$851Professionalmedian $347 · 10th–90th $195$7760%10%10th90th$347$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$281.84
Median
$1,288.25
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$676.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$616.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,454.71