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Drainage Of A Complicated Mouth Lining Infection

Texas 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 $1,349 · 10th–90th $302$5,8880%5%10th90th$1,349Professionalmedian $295 · 10th–90th $195$4900%10%20%10th90th$295$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
$588.84
Median
$2,754.23
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$457.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$562.34
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$28,840.32
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$831.76
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$467.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$416.87