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Drainage Of A Complicated Mouth Lining Infection

Vermont 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 October 2026.

How much does Drainage Of A Complicated Mouth Lining Infection cost?

$347

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $501 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$295 to $447
FacilityA hospital or hospital-owned outpatient department$501$501 to $955

How much rates vary

Facilitymedian $501 · 10th to 90th $407 to $1,230Professionalmedian $339 · 10th to 90th $240 to $603
$200$500$1Kfacility $501professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$338.84
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$338.84
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$407.38
Typical High
$724.44

Where Vermont sits

The same service costs 3.7 times more in Wisconsin than in Utah. 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.

Vermont· 27th of 51

$347

WI $891UT $240

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.