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Draining An Abscess In The Mouth Vestibule

Alaska 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?

$525

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $302 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 6 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$575$263 to $813
FacilityA hospital or hospital-owned outpatient department$302$200 to $646

How much rates vary

Facilitymedian $302 · 10th to 90th $148 to $1,413Professionalmedian $575 · 10th to 90th $138 to $1,122
$100$200$500$1K$2K$5K$10Kfacility $302professional $575

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
Facility
Modifier
Global
Typical Low
$346.74
Median
$645.65
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$331.13
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$1,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$630.96
Typical High
$1,258.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$263.03
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$1,047.13

Where Alaska sits

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.

Alaska· 2nd of 51

$525

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.