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Draining An Abscess In The Mouth Vestibule

Colorado 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?

$251

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $3,162 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 7 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 $251
FacilityA hospital or hospital-owned outpatient department$3,162$2,042 to $5,370

How much rates vary

Facilitymedian $3,162 · 10th to 90th $214 to $7,586Professionalmedian $214 · 10th to 90th $126 to $372
$200$500$1K$2K$5K$10Kfacility $3,162professional $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
$213.80
Median
$3,235.94
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$407.38
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$446.68
Select Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$457.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$416.87

Where Colorado 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.

Colorado· 16th of 51

$251

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.