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Drainage Of A Complicated Mouth Lining Infection

South Carolina 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 $1,660 · 10th–90th $257$9,7720%5%10th90th$1,660Professionalmedian $282 · 10th–90th $191$4790%10%10th90th$282$50.0$200.0$1.0K$5.0K$20.0K

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
$234.42
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,995.26
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$630.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$524.81