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Draining An Abscess In The Mouth Vestibule

Alabama 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. In Alabama, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $468 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 4 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$229$155 to $339
FacilityA hospital or hospital-owned outpatient department$468$195 to $1,288

How much rates vary

Facilitymedian $468 · 10th to 90th $166 to $2,399Professionalmedian $229 · 10th to 90th $115 to $398
$100$200$500$1K$2Kfacility $468professional $229

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
$398.11
Median
$1,258.93
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$239.88
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$302.00

Where Alabama 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.

Alabama· 20th of 51

$240

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.