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Drainage Of A Complicated Mouth Lining Infection

New Mexico 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 October 2026.

How much does Drainage Of A Complicated Mouth Lining Infection cost?

$339

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $398 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$245 to $417
FacilityA hospital or hospital-owned outpatient department$398$251 to $1,072

How much rates vary

Facilitymedian $398 · 10th to 90th $200 to $1,514Professionalmedian $331 · 10th to 90th $195 to $513
$50$100$200$500$1K$2K$5Kfacility $398professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$1,380.38
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$281.84
Typical High
$407.38
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$269.15
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$338.84
Typical High
$501.19
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$81.28
Typical High
$407.38
Providence
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$407.38
Typical High
$1,513.56
Providence
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$338.84
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$275.42
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$354.81
Typical High
$549.54

Where New Mexico sits

The same service costs 3.7 times more in Wisconsin than in Utah. 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 Mexico· 29th of 51

$339

WI $891UT $240

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.