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Drainage Of A Complicated Mouth Lining Infection

North Dakota 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?

$447

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $282 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$447$302 to $589
FacilityA hospital or hospital-owned outpatient department$282$209 to $302

How much rates vary

Facilitymedian $282 · 10th to 90th $191 to $2,512Professionalmedian $447 · 10th to 90th $209 to $692
$200$500$1K$2K$5Kfacility $282professional $447

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
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$354.81
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$707.95

Where North Dakota 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.

North Dakota· 13th of 51

$447

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.