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Drainage Of A Complicated Mouth Lining Infection

New Hampshire 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?

$389

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $1,413 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$389$309 to $562
FacilityA hospital or hospital-owned outpatient department$1,413$1,072 to $3,467

How much rates vary

Facilitymedian $1,413 · 10th to 90th $776 to $7,413Professionalmedian $389 · 10th to 90th $229 to $708
$100$200$500$1K$2K$5K$10Kfacility $1,413professional $389

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
$562.34
Median
$1,071.52
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$758.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$891.25

Where New Hampshire 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.

New Hampshire· 25th of 51

$389

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.