go back

Draining An Abscess In The Mouth Vestibule

Washington, DC 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 physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $141 to $339.

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.

How much rates vary

Facilitymedian $603 · 10th to 90th $141 to $7,762Professionalmedian $229 · 10th to 90th $135 to $257
$100$500$2K$10Kfacility $603professional $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
$141.25
Median
$549.54
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$251.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$562.34
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$239.88
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$512.86

Where Washington, DC 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.

Washington, DC· 23rd 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.