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Drainage Of A Complicated Mouth Lining Infection

Utah 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 $3,162 · 10th–90th $295$4,8980%10%10th90th$3,162Professionalmedian $407 · 10th–90th $209$8510%10%20%10th90th$407$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$295.12
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$630.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,513.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$501.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$630.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$562.34