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Draining An Abscess In The Mouth Vestibule

Arizona 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?

$214

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $1,995 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 5 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$191$132 to $240
FacilityA hospital or hospital-owned outpatient department$1,995$355 to $3,715

How much rates vary

Facilitymedian $1,995 · 10th to 90th $162 to $5,623Professionalmedian $191 · 10th to 90th $115 to $389
$100$200$500$1K$2K$5Kfacility $1,995professional $191

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
$1,737.80
Median
$3,715.35
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$323.59
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$251.19
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,258.93
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$316.23

Where Arizona 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.

Arizona· 40th of 51

$214

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.