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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.

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

$309

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $1,660 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$282$224 to $339
FacilityA hospital or hospital-owned outpatient department$1,660$389 to $5,623

How much rates vary

Facilitymedian $1,660 · 10th to 90th $257 to $9,772Professionalmedian $282 · 10th to 90th $191 to $479
$50$200$1K$5K$20Kfacility $1,660professional $282

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
$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

Where South Carolina 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.

South Carolina· 42nd 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.