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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 July 2026.

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

$316

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $479 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$316$240 to $407
FacilityA hospital or hospital-owned outpatient department$479$302 to $1,380

How much rates vary

Facilitymedian $479 · 10th to 90th $263 to $2,344Professionalmedian $316 · 10th to 90th $195 to $631
$50$100$200$500$1K$2K$5Kfacility $479professional $316

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
$288.40
Median
$478.63
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$707.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,318.26
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$588.84

Where New Mexico 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 Mexico· 41st of 51

$316

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.