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Drainage Of A Complicated Mouth Lining Infection

Nevada 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?

$309

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $2,138 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$302$219 to $363
FacilityA hospital or hospital-owned outpatient department$2,138$302 to $3,467

How much rates vary

Facilitymedian $2,138 · 10th to 90th $204 to $4,786Professionalmedian $302 · 10th to 90th $204 to $1,122
$50$200$1K$5Kfacility $2,138professional $302

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
$204.17
Median
$2,137.96
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$467.74
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$489.78
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$457.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$309.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,000.00
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$537.03

Where Nevada 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.

Nevada· 43rd of 51

$309

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.