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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 July 2026.

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

$339

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $240 to $339.

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.

How much rates vary

Facilitymedian $955 · 10th to 90th $955 to $1,230Professionalmedian $339 · 10th to 90th $240 to $468
$200$500$1Kfacility $955professional $339

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. 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
Global
Typical Low
$239.88
Median
$239.88
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$724.44

Where Vermont 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.

Vermont· 35th of 51

$339

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.