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Draining An Abscess In The Mouth Vestibule

Nationwide rates for HCPCS 40800

Opens and drains a pocket of pus, fluid or blood in the vestibule of the mouth, the space between the lips or cheek and the gums. A small cut is made through the lining, the collection is emptied and the area is rinsed out. This is the straightforward version, used when a single pocket can be opened and cleared in one step.

Rates data updated July 2026.

How much does Draining An Abscess In The Mouth Vestibule cost?

$240

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $2,512 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 68 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$148 to $302
FacilityA hospital or hospital-owned outpatient department$2,512$437 to $4,677

How much rates vary

Facilitymedian $2,512 · 10th to 90th $186 to $8,318Professionalmedian $214 · 10th to 90th $117 to $490
$100$500$2K$10Kfacility $2,512professional $214

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$2,041.74
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,630.78
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$208.93
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$489.78
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,778.28
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$416.87

What it costs in each state

The same service costs 5.4 times more in California than in Delaware. 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.

Touch or drag across the chart to see any state's rate.

CA $1,023DE $191

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.