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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.

Facilitymedian $4,365 · 10th–90th $513$13,4900%10%10th90th$4,365Professionalmedian $427 · 10th–90th $186$1,1220%10%10th90th$427$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
$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