go back

Drainage Of A Complicated Mouth Lining Infection

Tennessee 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?

$363

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,778 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$295$251 to $407
FacilityA hospital or hospital-owned outpatient department$1,778$813 to $2,399

How much rates vary

Facilitymedian $1,778 · 10th to 90th $407 to $4,074Professionalmedian $295 · 10th to 90th $191 to $603
$200$500$1K$2K$5K$10K$20Kfacility $1,778professional $295

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
$616.60
Median
$1,905.46
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,479.11
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$549.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$602.56

Where Tennessee 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.

Tennessee· 29th of 51

$363

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.