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Drainage Of A Complicated Mouth Lining Infection

Nebraska 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?

$525

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $4,365 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$427$269 to $631
FacilityA hospital or hospital-owned outpatient department$4,365$2,344 to $8,128

How much rates vary

Facilitymedian $4,365 · 10th to 90th $513 to $13,490Professionalmedian $427 · 10th to 90th $186 to $1,122
$200$500$1K$2K$5K$10K$20Kfacility $4,365professional $427

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
$2,344.23
Median
$5,011.87
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$389.05
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$562.34
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$812.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$758.58

Where Nebraska 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.

Nebraska· 8th of 51

$525

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.