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Drainage Of A Complicated Mouth Lining Infection

New York 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 $3,236 · 10th–90th $316$7,5860%5%10th90th$3,236Professionalmedian $309 · 10th–90th $204$7940%5%10%10th90th$309$100.0$500.0$2.0K$10.0K$50.0K

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
$275.42
Median
$2,951.21
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$794.33
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$489.78
Typical High
$1,122.02
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$218.78
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$630.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$724.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$691.83
Univera
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$812.83
Univera
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$691.83