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Drainage Of A Complicated Mouth Lining Infection

Virginia 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?

$347

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,175 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 8 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$316$245 to $372
FacilityA hospital or hospital-owned outpatient department$1,175$331 to $3,631

How much rates vary

Facilitymedian $1,175 · 10th to 90th $234 to $7,079Professionalmedian $316 · 10th to 90th $209 to $661
$200$500$1K$2K$5K$10Kfacility $1,175professional $316

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
$338.84
Median
$3,467.37
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$2,570.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$489.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$691.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$575.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$524.81

Where Virginia 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.

Virginia· 32nd of 51

$347

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.