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Draining An Abscess In The Mouth Vestibule

Connecticut 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?

$288

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $4,898 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$263$186 to $380
FacilityA hospital or hospital-owned outpatient department$4,898$2,818 to $7,943

How much rates vary

Facilitymedian $4,898 · 10th to 90th $417 to $10,471Professionalmedian $263 · 10th to 90th $138 to $525
$200$500$1K$2K$5K$10Kfacility $4,898professional $263

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
$416.87
Median
$5,248.07
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$537.03
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,786.30
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$537.03

Where Connecticut 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.

Connecticut· 11th of 51

$288

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.