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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.

Facilitymedian $1,175 · 10th–90th $234$7,0790%5%10th90th$1,175Professionalmedian $316 · 10th–90th $209$6610%10%10th90th$316$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$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