go back

Drainage Of A Complicated Mouth Lining Infection

Wisconsin 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 $2,818 · 10th–90th $759$5,7540%10%10th90th$2,818Professionalmedian $490 · 10th–90th $251$1,3180%5%10th90th$490$50.0$200.0$1.0K$5.0K

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
$218.78
Median
$426.58
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$562.34
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$691.83
Typical High
$1,258.93
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$602.56
Typical High
$4,265.80
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$616.60
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$416.87
Network Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$1,148.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$588.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$1,071.52
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,995.26
Typical High
$1,995.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$501.19
Typical High
$2,137.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,071.52
Security Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$1,258.93