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Drainage Of A Complicated Mouth Lining Infection

Washington 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 $631 · 10th–90th $347$7,9430%10%10th90th$631Professionalmedian $447 · 10th–90th $251$8130%10%20%10th90th$447$20.0$100.0$500.0$2.0K$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
$436.52
Median
$851.14
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$436.52
Typical High
$851.14
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$3,019.95
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$831.76
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$91.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$616.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$398.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,819.70
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$446.68